Holling, Kenneth L
Holling, Kenneth L is an individual health care provider with primary practice located at 200 Se Hospital Ave , Stuart FL 34994-2346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Holling, Kenneth L can be contacted via phone (772) 223-5618.Contact Information
Primary practice address
200 Se Hospital Ave
Stuart FL 34994-2346
Phone: (772) 223-5618
Fax: (772) 288-5834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME0054425 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0054425 | Florida |
Profile Details
| NPI number | 1396737516 |
|---|---|
| LBN Legal business name | Holling, Kenneth L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Dec 12th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396737516 | NPPES |
| Florida | Other | 18604 | FL BLUE |
| Florida | MEDICAID | 013390900 | FL BLUE |
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