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Contact Information

SHALA R HOLMAN, PA-C
1124 W. 21ST STREET
ANDOVER, KS67002
 Phone: 316-300-4000
 Fax: 316-300-4040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHALA R HOLMAN · (Female)

NPI # 1275644650
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/31/2006
Last updated 12/30/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 1073264
  • KS License # 1501127
  • KS Medicaid 200414050B
  • KS Other 427052 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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