Individual
MR. KEVIN EUGENE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA
Contact information
Practice address
12612 CHALLENGER PKWY STE 365, ORLANDO, FL 32826-2784
(407) 306-8441
Mailing address
212 N 1ST ST NE, CLAY CITY, IL 62824-1012
(618) 317-0472
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/25/2008
Last updated
02/13/2024
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