Individual provider · Type 1 NPI

Shala Renee Holman, PA-C

Physician Assistant · Andover, KS

NPI number 1275644650 Active

Practice location

1124 W. 21st Street
Andover, KS 67002

Fax (316) 300-4040

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1073264 (KS)
Physician Assistant Primary 363A00000X1501127 (KS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1275644650

Shala Renee Holman, PA-C's National Provider Identifier is 1275644650, issued on Aug 31, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Andover, KS. The record was last updated on Dec 30, 2008.