Individual
DR. KENNY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 N MAIN ST STE 1, JASPER, GA 30143-1557
(706) 692-5633
(706) 692-0027
Mailing address
105 N MAIN ST STE 1, JASPER, GA 30143-1557
(706) 692-5633
(706) 692-0027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002252
GA
Other
Enumeration date
08/26/2005
Last updated
01/19/2023
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