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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAILEY VICTORIA HOLM
NPI 1902647241
Physician Assistant - Medical 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: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Jun 3, 2024 (2 updates tracked since 2024).

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 medical provider in Surprise, Arizona, licensed in Arizona (11411) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1902647241
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
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
Phone(623) 547-7205
Sole ProprietorYes
Enumeration DateJune 3, 2024
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1902647241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 11411
Also ListedPhysician AssistantTaxonomy 363A00000X · License 11411 (AZ)
14961 W BELL RD STE 175, Surprise, AZ 85374
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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.

ZEYAD ALSAEEDI MD
Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 242-9830
ANTONI MACKO MD
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
MUNA ALI MD
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 242-9830
DR. RAVALI NAGOTHU MD
Internal Medicine (Pulmonary Disease)
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 242-9830
HELIO CARMELO ZAPATA M.D.
Obstetrics & Gynecology
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
SHANNON O'BRIEN PA
Physician Assistant
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
ASEEL SLIWA ABDULAHAD MD
Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
DR. VALENCIA L MOSLEY M.D.
Obstetrics & Gynecology
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205

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, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kailey Holm was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.