Holloway, Kim

Holloway, Kim is an individual health care provider with primary practice located at 159 Kercheval Ave , Grosse Pointe MI 48236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Holloway, Kim can be contacted via phone (586) 569-1329.

Contact Information

Primary practice address
159 Kercheval Ave Grosse Pointe MI 48236
Phone: (586) 569-1329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704222209 Michigan

Profile Details

NPI number 1548378615
LBN Legal business name Holloway, Kim
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 17th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548378615 NPPES
Michigan MEDICAID 104820177
Michigan Other KC222209

Popular Providers