Leroy Kenneth Holley, LPN is a
Licensed Practical Nurse based in Cortez, Colorado. Leroy Kenneth Holley is licensed to practice in Colorado (license number PN0330637) and his current practice location is
324 N Ash St, Cortez, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 564-0152.
NPI number for Leroy Kenneth Holley is 1417380932 and his current mailing address is 324 N Ash St, Cortez, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417380932.
Provider's Profile
Full Name | Leroy Kenneth Holley |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 324 N Ash St, Cortez, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417380932
- Provider Enumeration Date: 08/20/2013
- Last Update Date: 08/20/2013
Medical Identifiers
Medical identifiers for Leroy Kenneth Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417380932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN0330637 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leroy Kenneth Holley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leroy Kenneth Holley, LPN 324 N Ash St, Cortez, CO 81321-2812 Ph: (970) 564-0152 | Leroy Kenneth Holley, LPN 324 N Ash St, Cortez, CO 81321-2812 Ph: (970) 564-0152 |
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