Kenny Holloway Od PC

NPI #1417589664 in Jasper, Georgia

Provider Information

NPI Number: 1417589664
Entity Type: Organization
Organization Name: Kenny Holloway Od PC
Primary Specialty: Optometrist
Enumeration Date: Feb 5, 2020
Last Updated: Jan 19, 2023

Practice Location

Address: 105 N MAIN ST STE 100
City: Jasper
State: Georgia
ZIP Code: 30143-1557
Phone: (678) 315-9446

Authorized Official

Name: DR. KENNY HOLLOWAY, OD
Title: CEO
Phone: (706) 692-5633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Kenny Holloway, O.D.	Optometrist	Jasper	AI Deep Dive

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