Individual
DR. KENNETH L HOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2628 SE WILLOUGHBY BLVD, STUART, FL 34994-4700
(772) 215-4562
Mailing address
565 SE ASHLEY OAKS WAY, STUART, FL 34997-2810
(772) 215-4562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0054425
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0054425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013390900
—
FL
01
—
18604
FL BLUE
FL
Enumeration date
08/16/2005
Last updated
04/01/2025
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