Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Lyle Holland, APRN

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1679327266

Kenneth Lyle Holland, APRN is a Nurse Practitioner in Broadview, Illinois. Qualified in 2023, 3 years ago. Practices with Matrix Mental Health Ltd, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2325 S 18th Ave
Broadview, IL 60155-3927
Phone: (773) 706-5802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (312) 996-2064

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209029961 (IL)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 041448188 (IL)

Record details

NPI number1679327266
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 11, 2024
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Matrix Mental Health Ltd — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount