KENNETH DAVID HOLLADAY M.D. NPI 1275628380

NPI Information

Kenneth David Holladay, M.D. is a child and adolescent psychiatry psychiatry neurology in Portland, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Kenneth David Holladay, M.D. NPI is 1275628380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9830 NE CASCADES PKWY
SUITE 200
PORTLAND, OR
ZIP 97220-832
Phone: (503) 239-8101

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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