Holly Kirwan, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Masonic Home, KY
NPI 1154055754 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1154055754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 276788 (KY)
- Practice address
- 3761 Johnson Hall Drive
Masonic Home, KY 40041 - Phone
- (502) 633-1007
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276788 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 276788 | KY | Yes |
Addresses
Primary practice location
3761 Johnson Hall Drive
Masonic Home, KY 40041
Mailing address
90 Howard Drive
Shelbyville, KY 40065
Other providers in Masonic Home, KY
- Barbara Helen Haynes
- Robert Heimann
- Sally Phillips Junkins
- Sydney Jamison Kascak
- Jennifer Renee Kief
- Rebekah Lynn Lucas
- M&M Medical Clinics LLC
- Courtney M Marra
- Masonic Home Community Based Services, Inc.
- Masonic Homes of Kentucky Inc
All providers in Masonic Home, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.