Individual provider · Type 1 NPI

Kyle Lance Holsted, PA

Surgical Physician Assistant · Lebanon, NH

NPI number 1306409818 Active

Practice location

1 Medical Center Drive, Department Of Surgery
Lebanon, NH 03756-0001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1492 (NH)

Surgical Physician Assistant: Definition to come...

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About NPI 1306409818

Kyle Lance Holsted, PA's National Provider Identifier is 1306409818, issued on Apr 19, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lebanon, NH. The record was last updated on Sep 5, 2019.