ISLAND LIFE AESTHETICS AND WELLNESS
NPI 1013804400
Clinic/Center in Crittenden, KY

Active since June 19, 2025
102 N MAIN ST, CRITTENDEN, KY 41030(859) 379-2232 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Island Life Aesthetics And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND LIFE AESTHETICS AND WELLNESS (NPI 1013804400) is a healthcare organization registered as a clinic/center in Crittenden, Kentucky and active in the NPI registry since June 2025. The organization lists Dolores Holtmann, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1013804400
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameISLAND LIFE AESTHETICS AND WELLNESS
Location Address102 N MAIN STCrittenden, KY 41030-8488
Mailing Address515 Flat Creek RdDry Ridge, KY 41035-7968 · (859) 992-6700
Organization SubpartNo
Authorized OfficialDolores HoltmannOwner/provider · (859) 992-6700
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
NPI 1013804400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
102 N MAIN ST, Crittenden, KY 41030

Other Identifiers 1

Other1659777985KY · Individual Npi

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
102 N MAIN ST
CRITTENDEN, KY 41030
Chiropractor
102 N MAIN ST
CRITTENDEN, KY 41030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Island Life Aesthetics And Wellness's NPI number?

The NPI number for Island Life Aesthetics And Wellness is 1013804400. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Island Life Aesthetics And Wellness located?

Island Life Aesthetics And Wellness is located at 102 N Main St, Crittenden, KY 41030. The listed phone number is (859) 379-2232.

What is Island Life Aesthetics And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Island Life Aesthetics And Wellness was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.