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Dr. Kenneth Winston Holmes, MD
Specialist in Hazel Crest, Illinois
NPI 1114982477

Kenneth Winston Holmes is a Specialist based in Hazel Crest, IL. Kenneth Winston Holmes practices in Hazel Crest, IL and has the professional credentials of MD. The NPI Number for Kenneth Winston Holmes is 1114982477 and holds a License No. 036-078410 (Illinois).

The current practice location address for Kenneth Winston Holmes is 3330 W 177Th St, Hazel Crest, IL and can be reached out via phone at 708-799-6799.

Location: 3330 W 177Th St, Hazel Crest, IL, 60429-2001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114982477
Provider Name
Kenneth Winston Holmes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3330 W 177Th St, Hazel Crest, IL, 60429-2001
Phone Number
708-799-6799
Fax Number
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0363796086 05 IL
institution
Provider Business Practice Location Address Details
Address
3330 W 177Th St
City
Hazel Crest
State
Illinois
Zip
60429-2001
Phone Number
708-799-6799
Fax Number
person
Provider Business Mailing Address Details
Address
3330 W 177Th St
City
Hazel Crest
State
Illinois
Zip
60429-2001
Phone Number
708-799-6799
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-078410 (Illinois)
Definition
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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