Individual provider · Type 1 NPI

Mary Holman

Surgical Physician Assistant · Lexington, KY

NPI number 1811301633 Active

Practice location

1101 Veterans Dr
Lexington, KY 40502-2235

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1899 (KY)
Physician Assistant 363A00000XTC273 (KY)
Medical Physician Assistant 363AM0700XPA1899 (KY)
Surgical Physician Assistant Primary 363AS0400XPA1899 (KY)

Surgical Physician Assistant: Definition to come...

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About NPI 1811301633

Mary Holman's National Provider Identifier is 1811301633, issued on Jun 19, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lexington, KY. The record was last updated on Sep 22, 2025.