K Holloway International

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10-0167296 Issued in NC

Legal business name

K HOLLOWAY INTERNATIONAL

Practice address

8753 Viceregal CT
Charlotte, NC 28216-5780

Phone

(704) 999-0943

NPI assigned

Oct 30, 2009

Last updated

Oct 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kelvin Holloway

Title

Ceo/Manger

Phone

(704) 999-0943

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1891021523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8753 VICEREGAL CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165780",
            "telephone_number": "704-999-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8753 VICEREGAL CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165780",
            "telephone_number": "704-999-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K HOLLOWAY INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "CEO/MANGER",
        "authorized_official_telephone_number": "704-999-0943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "10-0167296",
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NC",
            "license": "10-0167296",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NC",
            "license": "10-0167296",
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NC",
            "license": "10-0167296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.