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Contact Information

KIM S HOLLEY
300 S MAIN ST UNIT 2415
WILKES-BARRE, PA18703-5091
 Phone: 570-793-9226
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for KIM S HOLLEY · (Female)

NPI Number 1093668626
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2026
Last updated 02/14/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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