Individual
DR. GREGORY KENNETH HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9506 NALL AVE, OVERLAND PARK, KS 66207-2950
(913) 912-1096
(913) 912-1157
Mailing address
9506 NALL AVE, OVERLAND PARK, KS 66207-2950
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.017901
IL
225100000X
Physical Therapist
Primary
1104905
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376017857001
—
IL
Enumeration date
06/25/2012
Last updated
06/16/2016
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