MRS. Shala Renee Holman, PA-C

NPI #1275644650 in Andover, Kansas

Provider Information

NPI Number: 1275644650
Entity Type: Individual
Name: MRS. Shala Renee Holman, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 31, 2006
Last Updated: Dec 30, 2008

Practice Location

Address: 1124 W. 21ST STREET
City: Andover
State: Kansas
ZIP Code: 67002
Phone: (316) 300-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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