Kelly Steven Holman, PT, MS
Individual provider Active NPI Physical Therapist · Scottsville, KY
NPI 1215979489 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1215979489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-003727 (KY)
- Practice address
- 208 S Court St
Scottsville, KY 42164-1263 - Phone
- (270) 239-6640
- Fax
- (270) 239-6674
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-003727 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation | Past | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Past | Accepting new patients | |
| Orthopedics Plus Physical Therapy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-003727 | KY | Yes |
Addresses
Primary practice location
208 S Court St
Scottsville, KY 42164-1263
Mailing address
PO Box 51246
Bowling Green, KY 42102-5546
Phone (270) 726-6640
Other providers in Scottsville, KY
- Casey L Hatcher
- Timothy John Hausl
- Gradaphene I Hayden
- Kanissa E. Hildreth
- Hilltop Family Dental Care, PSC
- April B. Hoskins
- Hospital Care Consultants, Inc.
- James K Howard
- Joshua Michael Hudson
- Dianna Hunt
All providers in Scottsville, KY · Physical 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 Dec 4, 2007. 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.