Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Keddington, PA-C

Individual provider Physician Assistant · NPI 1194458794

Holly Keddington, PA-C is a Physician Assistant in Waterloo, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

105 Highland Ter
Waterloo, WI 53594-2217
Phone: (920) 478-2141
Fax: (920) 478-3820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7947-23 (WI)

Record details

NPI number1194458794
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 1, 2022
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

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