John Holloway, | |
6105 Mission Rd, Fairway, KS 66205-3251 | |
(913) 475-9876 | |
Not Available |
Full Name | John Holloway |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 6105 Mission Rd, Fairway, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114654787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 53-81432-071 (Kansas) | Primary |
Entity Name | Olathe Health Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784639 PECOS PAC ID: 7618881905 Enrollment ID: O20031119000719 |
Entity Name | Jayhawk Primary Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528025053 PECOS PAC ID: 8123928900 Enrollment ID: O20050721001078 |
Mailing Address | Practice Location Address |
---|---|
John Holloway, 6105 Mission Rd, Fairway, KS 66205-3251 Ph: (913) 475-9876 | John Holloway, 6105 Mission Rd, Fairway, KS 66205-3251 Ph: (913) 475-9876 |
Katelynn Marie Kreszyn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 Shawnee Mission Pkwy, Fairway, KS 66205 Phone: 913-588-1227 | |
Kerri Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6114 Delmar St, Fairway, KS 66205 Phone: 913-742-0828 | |
Samantha Annette Fikru, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 Shawnee Mission Pkwy Ste 1200, Fairway, KS 66205 Phone: 913-588-0555 Fax: 913-945-5035 |