| Mrs Shala Renee Holman, PA-C | |
|
1124 W. 21st Street, Andover, KS 67002 | |
| (316) 300-4000 | |
| (316) 300-4040 |
| Full Name | Mrs Shala Renee Holman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1124 W. 21st Street, Andover, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275644650 | NPI | - | NPPES |
| 427052 | Other | KS | BCBS |
| 200414050B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1073264 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | 1501127 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shala Renee Holman, PA-C 1124 W. 21st Street, Andover, KS 67002 Ph: (316) 300-4000 | Mrs Shala Renee Holman, PA-C 1124 W. 21st Street, Andover, KS 67002 Ph: (316) 300-4000 |
Christopher Ryan Lemons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 308 E Central Ave, Andover, KS 67002 Phone: 316-993-1774 | |
Emi Hayashi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1118 E Us Highway 54, Andover, KS 67002 Phone: 316-655-7311 | |
Jill L Johnson-smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 612 N Andover Rd, Andover, KS 67002 Phone: 316-733-6618 Fax: 316-733-5299 | |
Brett Jacob Jenlink, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 822 N Andover Rd, Andover, KS 67002 Phone: 316-247-5499 | |
Jamie Marie Geier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 308 E Central Ave, Andover, KS 67002 Phone: 316-733-1331 Fax: 316-677-2747 | |
Mrs. Rachel Ann Ewing, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 S Andover Rd, Suite D, Andover, KS 67002 Phone: 316-733-5120 Fax: 316-733-1280 |