Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Ray Holloway, PA

Individual provider Physician Assistant · NPI 1427297332

Kenneth Ray Holloway, PA is a Physician Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2002 S Holt Rd
Indianapolis, IN 46241-4804
Phone: (317) 247-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001067A (IN)

Record details

NPI number1427297332
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 17, 2009
Last updated in NPPESMay 18, 2012

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