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MRS. SHALA RENEE HOLMAN PA-C
NPI 1275644650
Physician Assistant in Andover, KS

Active since August 31, 2006
1124 W. 21ST STREET, ANDOVER, KS 67002(316) 300-4000(316) 300-4040 Get Directions Write a Review

NPPES record last updated: December 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shala Renee Holman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHALA RENEE HOLMAN PA-C (NPI 1275644650) is an individual physician assistant in Andover, Kansas, licensed in Kansas (1501127) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1275644650
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SHALA RENEE HOLMANCredential: PA-C
Location Address1124 W. 21ST STREETAndover, KS 67002
Mailing Address1124 W. 21st StreetAndover, KS 67002 · (316) 300-4000 · Fax (316) 300-4040
Phone(316) 300-4000
Fax(316) 300-4040
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 30, 2008
✔ NPI 1275644650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in KS · 1501127✔ Licensed in KS · 1073264
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1124 W. 21ST STREET, Andover, KS 67002
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Other Identifiers 5

Medicare UPINQ73645
Medicaid200414050BKS
Medicare PIN427052KS
Other427052KS · Bcbs
Medicare UPINQ73645KS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shala Holman's NPI number?

The NPI number for Shala Holman is 1275644650. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Shala Holman located?

Shala Holman practices at 1124 W. 21st Street, Andover, KS 67002. The listed phone number is (316) 300-4000.

What is Shala Holman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shala Holman was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.