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Individual

KIM S HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
300 S MAIN ST UNIT 2415, WILKES BARRE, PA 18703-5091
(570) 793-9226
Mailing address
300 S MAIN ST UNIT 2415, WILKES BARRE, PA 18703-5091
(570) 793-9226

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
225000000X
Orthotic Fitter

Other

Enumeration date
02/14/2026
Last updated
02/14/2026
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