Individual
KELLY D HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 263-1574
(316) 264-1905
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(316) 263-1574
(316) 264-1905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0421912
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047288
BCBC
KS
01
—
050032914
RR MEDICARE GROUP CQ2307
—
05
—
100126900C
—
KS
Enumeration date
03/16/2006
Last updated
02/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us