Individual ProviderKristin HollowaySocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Kristin Holloway does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1326618638Provider TypeIndividualFull NameHolloway, KristinCredentialMSWGenderFemaleSole ProprietorNoEnumeration Date6/29/2021Last Updated6/29/2021Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense150014342Illinois