Individual provider · Type 1 NPI

Kenneth Winston Holmes, MD

Specialist · Hazel Crest, IL

NPI number 1114982477 Active

Practice location

3330 W 177th St, Suite 3C
Hazel Crest, IL 60429-2001

Call (708) 799-6799 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036-078410 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114982477

Kenneth Winston Holmes, MD's National Provider Identifier is 1114982477, issued on Apr 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hazel Crest, IL. The record was last updated on Dec 16, 2021.