Kelly D Holloway, MD | |
929 N Saint Francis St, Wichita, KS 67214-3821 | |
(316) 263-1574 | |
(316) 264-1905 |
Full Name | Kelly D Holloway |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 929 N Saint Francis St, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710956396 | NPI | - | NPPES |
050032914 | Other | RR MEDICARE GROUP CQ2307 | |
100126900C | Medicaid | KS | |
047288 | Other | KS | BCBC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0421912 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Kansas Hospital | Kansas city, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kansas University Physicians Inc | 8921911587 | 1456 |
Entity Name | Kansas University Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Entity Name | Cardiovascular Anesthesia Of Wichita, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093048431 PECOS PAC ID: 2567503808 Enrollment ID: O20100108000075 |
Mailing Address | Practice Location Address |
---|---|
Kelly D Holloway, MD Po Box 2897, Wichita, KS 67201-2897 Ph: (316) 263-1574 | Kelly D Holloway, MD 929 N Saint Francis St, Wichita, KS 67214-3821 Ph: (316) 263-1574 |
James Phillips, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214 Phone: 316-293-2665 | |
Valerie Audra Grau, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-268-5000 | |
Scott D Mclaren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 | |
John Dale Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis St, Wichita, KS 67214 Phone: 800-374-5326 Fax: 800-374-7656 | |
Dylan Michael Brittain, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Jonathan Michael Snell, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Michael A Mueller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557 |