Provider Demographics
NPI:1811556210
Name:HOLLINGER, KEVIN JAMES (COMS, CATIS)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:JAMES
Last Name:HOLLINGER
Suffix:
Gender:M
Credentials:COMS, CATIS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1280 STEPHENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-3406
Mailing Address - Country:US
Mailing Address - Phone:636-578-0124
Mailing Address - Fax:
Practice Address - Street 1:1280 STEPHENRIDGE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-3406
Practice Address - Country:US
Practice Address - Phone:636-578-0124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider
No2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner