Most Relevant Information
Provider Data
| NPI Number: | 1003513979 |
| Provider Name: | KAYLA MAE HOLM PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1200577 |
Most Important Dates
| Enumeration Date: | 02/10/2023 |
| Last Updated: | 06/30/2023 |
Provider Practice Location
15650 CEDAR AVE
APPLE VALLEY
MN
551247283
Practice Location Phone/Fax
| Phone: | 9529974100 |
| Fax: |
Provider Mailing Location
15650 CEDAR AVE
APPLE VALLEY
MN
551247283
Provider Mailing Phone/Fax
| Phone: | 9529974100 |
| Fax: |