Organization
K HOLLOWAY INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN HOLLOWAY (CEO/MANGER)
(704) 999-0943
Entity
Organization
Contact information
Practice address
8753 VICEREGAL CT, CHARLOTTE, NC 28216-5780
(704) 999-0943
Mailing address
8753 VICEREGAL CT, CHARLOTTE, NC 28216-5780
(704) 999-0943
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
10-0167296
NC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10-0167296
NC
332BD1200X
Dialysis Equipment & Supplies (DME)
10-0167296
NC
347E00000X
Transportation Broker
10-0167296
NC
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
Update your record
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