Kenneth Winston Holmes, M.D.

Specialist · Hazel Crest, IL

Individual Active NPI

NPI number 1114982477

Practice location

3330 W 177TH St
Suite 3c
Hazel Crest, IL 60429-2001
Phone
(708) 799-6799

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NPI record

NPI
1114982477
Entity type
Individual (Type 1)
Enumeration date
April 19, 2006
Last updated
December 16, 2021
Certified
December 16, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 036-078410 IL

About Dr. Holmes

Kenneth Winston Holmes, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 3330 W 177TH St, Suite 3c, Hazel Crest, IL 60429-2001. The NPI number 1114982477 was assigned on April 19, 2006 and the record was last updated on December 16, 2021.

Dr. Holmes lists a license in the registry: #036-078410 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Winston Holmes, M.D.?

The NPI number is 1114982477.

What is the phone number of Dr. Holmes?

The phone number listed for the practice location is (708) 799-6799.

Where is Dr. Holmes located?

3330 W 177TH St, Suite 3c, Hazel Crest, IL 60429-2001.

What is the taxonomy code for Dr. Holmes?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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