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Kenneth Holland, APRN — NPI 1679327266, Broadview, IL | NPI Central

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NPI 1679327266

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Kenneth Holland, APRN

NPI 1679327266 · Psychiatric/Mental Health Nurse Practitioner · Broadview, IL

Provider details

NPI number: 1679327266
Entity type: Individual
Primary specialty: Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: APRN
Sex: Male
Sole proprietor: Yes
License: 041448188 (IL)

Specialties & taxonomies

Psychiatric/Mental Health Nurse PractitionerPrimary363LP0808XLicense 209029961 (IL)
Physician Assistants & Advanced Practice Nursing Providers
Child & Adolescent Psychiatric/Mental Health Registered Nurse163WP0807XLicense 041448188 (IL)
Nursing Service Providers

Practice location

2325 S 18th Ave

Broadview, IL 60155-3927

Phone: (773) 706-5802

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

2325 S 18th Ave

Broadview, IL 60155-3927

Additional practice locations (1)

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (312) 996-2064

Registry dates

Enumerated: 2024-04-11
Last updated: 2025-07-09
Certified: 2025-07-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.