DR. Kenny Holloway, O.D.

NPI #1912990714 in Jasper, Georgia

Provider Information

NPI Number
1912990714
Entity Type
Individual
Name
DR. Kenny Holloway, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 26, 2005
Last Updated
Jan 19, 2023

Practice Location

Address
105 N MAIN ST STE 1
City
Jasper
State
Georgia
ZIP Code
30143-1557
Phone
(706) 692-5633

Specialties & Taxonomy Codes

Specialty
Optometrist

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