Kim S Holley

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

300 S Main St Unit 2415
Wilkes Barre, PA 18703-5091

Phone

(570) 793-9226

NPI assigned

Feb 14, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1093668626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST UNIT 2415",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187035091",
            "telephone_number": "570-793-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST UNIT 2415",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187035091",
            "telephone_number": "570-793-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "KIM",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Louise Holehan, RD
• Danielle Angela Holena, PA-C
• Laura B Holena, DDS
• Justin Stephen Holland, OD
• Neil R Holland, MD
• Samantha Lynn Hollock, RDN, LDN
• Tricia Le Hollos, MS OTRL
• Todd J. Holmes, M.D.
• Home Instead Senior Care
• Shalynn Rose Honeywell, PA-C

• Prosthetist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Prosthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.