Individual provider · Type 1 NPI

Kelly A. Holmes

Clinical Laboratory Director (Non-physician) · Queens Village, NY

NPI number 1982244968 Active

Practice location

22001 Jamaica Ave
Queens Village, NY 11428-2140

Mailing address

12 Brooklyn Ave Apt 501
Valley Stream, NY 11581-1287

Other practice locations

  • 16995 137th Ave, Jamaica, NY 11434-4517 · (718) 528-1503

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

6 other providers at this address

About NPI 1982244968

Kelly A. Holmes's National Provider Identifier is 1982244968, issued on Jan 8, 2020. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Queens Village, NY. The record was last updated on May 15, 2025.