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KIM S HOLLEY
NPI 1093668626
Prosthetist in Wilkes Barre, PA

Active since February 14, 2026
300 S MAIN ST UNIT 2415, WILKES BARRE, PA 18703(570) 793-9226 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim S Holley NPPES

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

KIM S HOLLEY (NPI 1093668626) is an individual prosthetist provider in Wilkes Barre, Pennsylvania and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1093668626
Entity TypeIndividual
Primary Taxonomy224P00000X
Provider Legal NameKIM S HOLLEY
Location Address300 S MAIN ST UNIT 2415Wilkes Barre, PA 18703-5091
Mailing Address300 S Main St Unit 2415Wilkes Barre, PA 18703-5091 · (570) 793-9226
Phone(570) 793-9226
Sole ProprietorNo
Enumeration DateFebruary 14, 2026
NPPES CertifiedFebruary 14, 2026
✔ NPI 1093668626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotic FitterTaxonomy 225000000X
300 S MAIN ST UNIT 2415, Wilkes Barre, PA 18703
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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 Kim Holley's NPI number?

The NPI number for Kim Holley is 1093668626. It was assigned to this individual provider in the NPPES registry on February 14, 2026.

Where is Kim Holley located?

Kim Holley practices at 300 S Main St Unit 2415, Wilkes Barre, PA 18703. The listed phone number is (570) 793-9226.

What is Kim Holley's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Kim Holley was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.