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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720088602 NPPES
Georgia MEDICAID 000274931C

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