KENNETH RAY HOLLOWAY

INDIANAPOLIS, IN
NPI1427297332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001067A)
Enumeration Date2009-02-17
Last Update Date2012-05-18
Business Address
-- KENNETH RAY HOLLOWAY PA
2002 S HOLT RD
INDIANAPOLIS, IN 46241-4804
Phone number: 317-247-3300
Mailing Address
-- KENNETH RAY HOLLOWAY PA
2002 S HOLT RD
INDIANAPOLIS, IN 46241-4804
Phone number: 317-247-3300
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