Individual
DR. KENNETH ALLEN HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
1143 S 3RD ST STE A, LOUISVILLE, KY 40203-2901
(502) 589-5290
Mailing address
5805 BENNY RD, LOUISVILLE, KY 40258-2005
(502) 802-4980
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
KY 0616
KY
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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