KAISHA HOLLOWAY


Address: 605 Sandra Drive, Browns Mills, NJ 08015
Phone: 6093791705

KAISHA HOLLOWAY (NPI# 1306221023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306221023
Entity Type Individual
Full Name KAISHA HOLLOWAY
Practice Address 605 Sandra Drive
Browns Mills
NJ 08015
Mailing Address 605 Sandra Dr
Browns Mills
NJ 08015-3769
Practice Telephone 6093791705
Enumeration Date 2015-07-23
Last Update Date 2015-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center H62824248251912 NJ Ambulatory Health Care Facilities

Office Location

Street Address 605 SANDRA DRIVE
City BROWNS MILLS
State NJ
Zip Code 08015

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City BROWNS MILLS
Zip Code 08015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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