Individual
KENNETH LYLE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2325 S 18TH AVE, BROADVIEW, IL 60155-3927
(773) 706-5802
Mailing address
2325 S 18TH AVE, BROADVIEW, IL 60155-3927
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
041448188
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029961
IL
Other
Enumeration date
04/11/2024
Last updated
07/09/2025
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