Individual provider · Type 1 NPI

Kim S. Holley

Prosthetist · Wilkes Barre, PA

NPI number 1093668626 Active

Practice location

300 S Main St Unit 2415
Wilkes Barre, PA 18703-5091

Specialties and licenses

TaxonomyCodeLicense
Orthotic Fitter 225000000XNone listed
Prosthetist Primary 224P00000XNone listed

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

About NPI 1093668626

Kim S. Holley's National Provider Identifier is 1093668626, issued on Feb 14, 2026. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Feb 14, 2026.