Holliman, Kenneth Earl

Holliman, Kenneth Earl is an individual health care provider with primary practice located at 23600 Telo Ave Ste 250 , Torrance CA 90505-4037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Holliman, Kenneth Earl can be contacted via phone (310) 375-8446.

Contact Information

Primary practice address
23600 Telo Ave Ste 250 Torrance CA 90505-4037
Phone: (310) 375-8446
Fax: (310) 602-5053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C39719 California

Profile Details

NPI number 1861445645
LBN Legal business name Holliman, Kenneth Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861445645 NPPES
California MEDICAID 1568604965

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