Individual provider · Type 1 NPI
Kaisha Holloway
Clinic/Center · Browns Mills, NJ
NPI number
1306221023
Active
Practice location
605 Sandra Drive
Browns Mills, NJ 08015
Mailing address
605 Sandra Dr
Browns Mills, NJ 08015-3769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | H62824248251912 (NJ) |
Clinic/Center: 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).
About NPI 1306221023
Kaisha Holloway's National Provider Identifier is 1306221023, issued on Jul 23, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Browns Mills, NJ. The record was last updated on Jul 23, 2015.