Individual
SAMUEL KYLE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1944 CENTERVILLE TPKE, VIRGINIA BEACH, VA 23464-6839
(757) 362-9067
Mailing address
1944 CENTERVILLE TPKE, VIRGINIA BEACH, VA 23464-6839
(757) 362-9067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005806
VA
Other
Enumeration date
06/01/2017
Last updated
12/27/2024
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