Individual
KIMBERLY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WEATHERED OAK CT, ST JOHNS, FL 32259-7265
(904) 347-8530
Mailing address
120 WEATHERED OAK CT, ST JOHNS, FL 32259-7265
(904) 347-8530
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-103567
FL
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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