Kim Holloway, CRNA | |
159 Kercheval Ave, Grosse Pointe, MI 48236 | |
(586) 569-1329 | |
Not Available |
Full Name | Kim Holloway |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 159 Kercheval Ave, Grosse Pointe, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548378615 | NPI | - | NPPES |
104820177 | Medicaid | MI | |
KC222209 | Other | MI | BLUE CROSS OF MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704222209 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368 |
Mailing Address | Practice Location Address |
---|---|
Kim Holloway, CRNA 3107 Promenade Cir, Ann Arbor, MI 48108-1559 Ph: (734) 276-8054 | Kim Holloway, CRNA 159 Kercheval Ave, Grosse Pointe, MI 48236 Ph: (586) 569-1329 |
Kathleen M Mclaren, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684 | |
Shirley A Hardy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684 | |
Nayna Lal, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Eric A Reim, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684 | |
Laura A Pytiak, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Mr. Mark B. Wagner, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 248-577-3520 Fax: 248-577-3526 | |
Jodi R White-johnson, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684 |