Holloway, Kelvin J
Holloway, Kelvin J is an individual health care provider with primary practice located at 35 Jesse Hill Jr. Dr. Se , Atlanta GA 30303-3032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Holloway, Kelvin J can be contacted via phone (404) 785-9850.Contact Information
Primary practice address
35 Jesse Hill Jr. Dr. Se
Atlanta GA 30303-3032
Phone: (404) 785-9850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 24823 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 024823 | Georgia |
Profile Details
| NPI number | 1720088602 |
|---|---|
| LBN Legal business name | Holloway, Kelvin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Mar 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720088602 | NPPES |
| Georgia | MEDICAID | 000274931C |
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