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

Kailey Victoria Holm

Individual provider Physician Assistant · NPI 1902647241

Kailey Victoria Holm is a Physician Assistant in Surprise, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
Specialties on file
2

Practice location Address checks out

14961 W Bell Rd Ste 175
Surprise, AZ 85374-3220
Phone: (623) 547-7205
Show map & directions

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

Additional practice locations (1)

  • 500 W Thomas Rd Ste 700, Phoenix, AZ 85013-4295 — (602) 406-7048

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11411 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 11411 (AZ)

Record details

NPI number1902647241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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