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

Kelsey L Holmes, PAC

Individual provider Medical Physician Assistant · NPI 1477950475

Kelsey L Holmes, PAC is a Physician Assistant in Roseville, Minnesota. Qualified in 2014, 12 years ago. Practices with Tareen Dermatology PA, a 44-clinician group. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 633-6883
Fax: (651) 331-3459
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11711 (MN)

Record details

NPI number1477950475
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 20, 2014
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tareen Dermatology Pa — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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