KAILEY VICTORIA HOLM
NPI 1902647241
Physician Assistant in Surprise, AZ

Active since June 03, 2024
14961 W BELL RD STE 175, SURPRISE, AZ 85374(623) 547-7205 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kailey Victoria Holm NPPES

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

KAILEY VICTORIA HOLM (NPI 1902647241) is an individual physician assistant in Surprise, Arizona, licensed in Arizona (11411) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1902647241
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAILEY VICTORIA HOLM
Location Address14961 W BELL RD STE 175Surprise, AZ 85374-3220
Mailing Address14961 W Bell Rd Ste 175Surprise, AZ 85374-3220 · (623) 547-7205
Sole ProprietorYes
Enumeration DateJune 3, 2024
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
NPI 1902647241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 11411
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.

14961 W BELL RD STE 175, Surprise, AZ 85374

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Internal Medicine (Pulmonary Disease)
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Obstetrics & Gynecology
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Physician Assistant
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Obstetrics & Gynecology
14961 W BELL RD STE 175
SURPRISE, AZ 85374

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 Kailey Holm's NPI number?

The NPI number for Kailey Holm is 1902647241. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Kailey Holm located?

Kailey Holm practices at 14961 W Bell Rd Ste 175, Surprise, AZ 85374. The listed phone number is (623) 547-7205.

What is Kailey Holm'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 Kailey Holm was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.