Search › Georgia › 152W00000X
Kenny Holloway, O.D
NPI 1912990714 · on the registry since 2005 · sole proprietor
Practice
- Address
- 105 N Main St Ste 1
Jasper, GA 30143 - Phone
- (706) 692-5633
- Fax
- (706) 692-0027
- Organisation at this address
- Kenny Holloway Od Pc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 101 S River St, Calhoun, GA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia