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

Kristy Holly, LPN

Individual provider Adult Care Home Facility · NPI 1023931672

Kristy Holly, LPN is an Adult Care Home Facility in Kelso, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

205 Pelican Dr
Kelso, WA 98626-5811
Phone: (360) 353-5717
Fax: (360) 998-3420
Show map & directions

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

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 753805 (WA)

Record details

NPI number1023931672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 31, 2026
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026