Individual provider · Type 1 NPI
Kenneth Lyle Holland, APRN
Psychiatric/Mental Health Nurse Practitioner · Broadview, IL
NPI number
1679327266
Active
Practice location
2325 S 18th Ave
Broadview, IL 60155-3927
Other practice locations
- 1740 W Taylor St, Chicago, IL 60612-7232 · (312) 996-2064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 041448188 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209029961 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Broadview
About NPI 1679327266
Kenneth Lyle Holland, APRN's National Provider Identifier is 1679327266, issued on Apr 11, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Broadview, IL. The record was last updated on Jul 9, 2025.