Kevin Eugene Hollis, CMA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784

Phone

(407) 306-8441

NPI assigned

Feb 25, 2008

Sex

Male

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

Credentials

Certified Medical Assistant

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1740459718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 1ST ST NE",
            "city": "CLAY CITY",
            "state": "IL",
            "postal_code": "628241012",
            "telephone_number": "618-317-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784",
            "telephone_number": "407-306-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "KEVIN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "CMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stedman Akeem Holliman Sr., MSN, APRN, PMHNP-BC
• Brien Owings Hollingsworth, PA-C
• Jolene Hollingsworth, LCSW
• Denise Marie Hollis, ARNP
• Kaylah Hollis
• Bruce Holloman, DPT, PT
• Ronnie D Holloman
• Melissa Anne Holloway, M.A. CFY-SLP
• Robert W Holloway, MD
• Rufus Madison Holloway Jr., MD

• Nurse's Aide in Orlando, FL
• Providers in Orlando, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.