| Kelley D Holland, PA | |
|
340 Nw Commerce Dr, Lake City, FL 32055-4709 | |
| (386) 719-9000 | |
| Not Available |
| Full Name | Kelley D Holland |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 340 Nw Commerce Dr, Lake City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023787074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PAT9114916 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley D Holland, PA 4240 Liron Ave Apt 103, Fort Myers, FL 33916-7868 Ph: (302) 419-6173 | Kelley D Holland, PA 340 Nw Commerce Dr, Lake City, FL 32055-4709 Ph: (386) 719-9000 |
Marianne Larsen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Mr. Shawn Waugh, PA -L Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4355 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6094 Fax: 386-758-6995 | |
Eligio Loperena Jr., P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 368 Ne Franklin St, Lake City, FL 32055 Phone: 386-754-8000 | |
Karen Marshall, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Commerce Dr, Suite 101, Lake City, FL 32025 Phone: 386-755-2240 Fax: 386-755-6598 | |
Mr. John Geary Windham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 373 Se Country Club Rd, Lake City, FL 32025 Phone: 386-755-8909 | |
Alden Ann Mustard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 216 Se Corrections Way, Lake City, FL 32025 Phone: 386-292-7054 |