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

Kyle Lance Holsted, PA

Individual provider Surgical Physician Assistant · NPI 1306409818

Kyle Lance Holsted, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2019, 7 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
7
Licensed in
NH
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Medical Center Dr Dept OF Surgery
Lebanon, NH 03756-0001
Phone: (603) 650-8537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1492 (NH)

Record details

NPI number1306409818
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESSeptember 5, 2019
Mailing address1 Medical Center Drive, Department Of Surgery, Lebanon, NH 03756-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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