Individual
DR. KENNETH G HOLEWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
755 SIMPSON ST, ATLANTA, GA 30314
(404) 525-3772
(404) 525-3773
Mailing address
755 SIMPSON ST, ATLANTA, GA 30314
(404) 525-3772
(404) 525-3773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1667
AL
111N00000X
Chiropractor
Primary
2306
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50012988
RAIL ROAD MEDICARE
GA
Enumeration date
09/22/2006
Last updated
07/08/2007
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