Kailey Victoria Holm, is a
Student In An Organized Health Care Education/training Program based in Mesa, Arizona. Kailey Victoria Holm is licensed to practice in * (Not Available) (license number ) and her current practice location is
5850 E Still Cir, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at
(916) 612-3717.
NPI number for Kailey Victoria Holm is 1902647241 and her current mailing address is 5850 E Still Cir, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902647241.
Provider's Profile
| Full Name | Kailey Victoria Holm |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 5850 E Still Cir, Mesa, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902647241
- Provider Enumeration Date: 06/03/2024
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Kailey Victoria Holm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902647241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kailey Victoria Holm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kailey Victoria Holm,
5850 E Still Cir,
Mesa, AZ 85206-3618
Ph: (916) 612-3717 | Kailey Victoria Holm,
5850 E Still Cir,
Mesa, AZ 85206-3618
Ph: (916) 612-3717 |
Reviews and Comments