Individual provider · Type 1 NPI

Kelley D. Holland, PA

Medical Physician Assistant · Lake City, FL

NPI number 1023787074 Active

Practice location

340 NW Commerce Dr
Lake City, FL 32055-4709

Mailing address

4240 Liron Ave Apt 103
Fort Myers, FL 33916-7868

Other practice locations

  • 1600 SW Archer Rd, Gainesville, FL 32610-3003 · (352) 265-5555

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPAT9114916 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1023787074

Kelley D. Holland, PA's National Provider Identifier is 1023787074, issued on Sep 12, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake City, FL. The record was last updated on Apr 11, 2022.