Kenneth E Hollingsworth, MSW

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3349 Ceremony Dr
Las Vegas, NV 89117-3778

Phone

(702) 787-6460

Fax

(702) 405-9361

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1275897159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 CEREMONY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173778",
            "telephone_number": "702-787-6460",
            "fax_number": "702-405-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 CEREMONY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173778",
            "telephone_number": "702-787-6460",
            "fax_number": "702-405-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "KENNETH",
        "middle_name": "E",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Deleon Hollifield, MD
• Alec Holligan
• Katheryn Holligan
• Chynessa Hollimen
• Heather Hollinger, PT, DPT, CWS
• Staci Hollingsworth
• Bruce Hollinquest
• Cynthia Denise Hollins
• Dana Hollins
• Malaya Hollins

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.