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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEROY KENNETH HOLLEY, LPN

Active Sole Proprietor

LEROY KENNETH HOLLEY, LPN is a Licensed Practical Nurse healthcare provider located in CORTEZ, Colorado. NPI 1417380932 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CORTEZ, CO

Registration Details

NPI Number
1417380932
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2013 (12.997278818317 yrs)
Last Updated
Aug 20, 2013
License
PN0330637 (CO)
Sole Proprietor
Yes

Practice Information

Address
324 N ASH ST
CORTEZ, CO, 813212812
Browse CO providers · Browse ZIP 81321
Phone
9705640152
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CORTEZ, CO

Name Credential NPI
SHANNON WELLS LPN 1881969301
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.