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

Katelyn Holder

Individual provider Physician Assistant · NPI 1033743299

Katelyn Holder is a Physician Assistant in South Boston, Virginia. Qualified in 2020, 6 years ago. Practices with Danville Urologic Clinic Inc, a 16-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

2045 Hamilton Blvd
South Boston, VA 24592-2141
Phone: (434) 572-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1033743299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2020
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address2045 Hamilton Blvd, South Boston, VA 24592-2141

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Danville Urologic Clinic Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Boston