Individual
KENNETH E HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3349 CEREMONY DR, LAS VEGAS, NV 89117-3778
(702) 787-6460
(702) 405-9361
Mailing address
3349 CEREMONY DR, LAS VEGAS, NV 89117-3778
(702) 787-6460
(702) 405-9361
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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