Provider Demographics
NPI:1053556183
Name:FRANK P. HOLLADAY, M.D., PA
Entity type:Organization
Organization Name:FRANK P. HOLLADAY, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOLLADAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-299-9507
Mailing Address - Street 1:2040 HUTTON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-4566
Mailing Address - Country:US
Mailing Address - Phone:913-299-9507
Mailing Address - Fax:913-299-9542
Practice Address - Street 1:2040 HUTTON RD STE 105
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66109-4566
Practice Address - Country:US
Practice Address - Phone:913-299-9507
Practice Address - Fax:913-299-9542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-22201207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO102075OtherMISSOURI LICENSE
KS0007127OtherMEDICARE
KS04-22201OtherKANSAS LICENSE
MO102075OtherMISSOURI LICENSE