Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH LYLE HOLLAND, APRN
Active Sole ProprietorKENNETH LYLE HOLLAND, APRN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BROADVIEW, Illinois. NPI 1679327266 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BROADVIEW, IL
Registration Details
- NPI Number
- 1679327266
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2024 (2.376351329568 yrs)
- Last Updated
- Jul 9, 2025
- Licenses
-
041448188 (IL)209029961 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2325 S 18TH AVEBROADVIEW, IL, 601553927Browse IL providers · Browse ZIP 60155
- Phone
- 7737065802
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
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.