Kenneth Lyle Holland, - Registered Nurse in Broadview, IL

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Kenneth Lyle Holland, is a Registered Nurse - Psychiatric/mental Health, Child & Adolescent based in Broadview, Illinois. Kenneth Lyle Holland is licensed to practice in Illinois (license number 041448188) and his current practice location is 2325 S 18th Ave, Broadview, Illinois. He can be reached at his office (for appointments etc.) via phone at (773) 706-5802.

NPI number for Kenneth Lyle Holland is 1679327266 and his current mailing address is 2325 S 18th Ave, Broadview, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679327266.

Contact Information

Kenneth Lyle Holland,
2325 S 18th Ave,
Broadview, IL 60155-3927
(773) 706-5802
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Lyle Holland
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health, Child & Adolescent
Location2325 S 18th Ave, Broadview, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679327266
  • Provider Enumeration Date: 04/11/2024
  • Last Update Date: 04/13/2024

Medical Identifiers

Medical identifiers for Kenneth Lyle Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679327266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 041448188 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Lyle Holland is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Lyle Holland,
2325 S 18th Ave,
Broadview, IL 60155-3927

Ph: () -		Kenneth Lyle Holland,
2325 S 18th Ave,
Broadview, IL 60155-3927

Ph: (773) 706-5802

Reviews and Comments


Registered Nurse Nurses in Broadview, IL

Ms. Myra Alicia Celestin, REGISTERED NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2441 S 12th Ave, Broadview, IL 60155
Phone: 312-343-4339    Fax: 708-345-0147
Teshann Coakley, RN-BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2209 Elizabeth Dr, Broadview, IL 60155
Phone: 708-526-4929    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.