Individual
KENNETH HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 BOW ST, ELKTON, MD 21921-5544
(410) 398-4000
Mailing address
PO BOX 10925, WILMINGTON, DE 19850-0925
(888) 733-7271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C1-0006000
DE
207L00000X
Anesthesiology Physician
Primary
D0027256
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001059501
—
DE
05
—
8100501-01
—
MD
Enumeration date
07/13/2005
Last updated
08/16/2024
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