Individual
KATHLEEN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 NAT WASHINGTON WAY, EPHRATA, WA 98823
(509) 754-3330
(509) 754-2351
Mailing address
220 NAT WASHINGTON WAY, EPHRATA, WA 98823-1982
(509) 754-3330
(509) 754-2351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004276
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301659
L&I
WA
05
—
1902907470
—
WA
01
—
P01110206
RR MEDICARE
WA
Enumeration date
09/26/2006
Last updated
05/21/2018
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