KELLY A HOLMES
NPI 1982244968
Pathology - Clinical Laboratory Director, Non-physician in Queens Village, NY

Q: What is Kelly Holmes's NPI number?

The NPI number for Kelly Holmes is 1982244968. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Q: What is Kelly Holmes's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Holmes was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since January 08, 2020

22001 JAMAICA AVE, QUEENS VILLAGE, NY 11428(718) 412-1848 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Mar 20, 2020, Jan 22, 2020 and 1 more (4 updates tracked since 2020).

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About Kelly A Holmes NPPES

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

KELLY A HOLMES (NPI 1982244968) is an individual clinical laboratory director, non-physician in Queens Village, New York and active in the NPI registry since January 2020. She maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1982244968

Entity TypeIndividualFemale

Primary Taxonomy247ZC0005X

Provider Legal NameKELLY A HOLMES

Location Address22001 JAMAICA AVEQueens Village, NY 11428-2140

Mailing Address12 Brooklyn Ave Apt 501Valley Stream, NY 11581-1287 · (929) 404-1011

Phone(718) 412-1848

Sole ProprietorNo

Enumeration DateJanuary 8, 2020

Last NPPES UpdateMay 15, 20254 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1982244968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

22001 JAMAICA AVE, Queens Village, NY 11428

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Secondary Practice Location 1

Location 116995 137th AveJamaica, NY 11434-4517 · Phone (718) 528-1503

Other Providers at the Same Location NPPES 6

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

JOSHUA JENNERJAHN

Physician Assistant (Medical)