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

Mrs. Shala Renee Holman, PA-C

Individual provider Physician Assistant · NPI 1275644650

Mrs. Shala Renee Holman, PA-C is a Physician Assistant in Andover, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1124 W 21st St
Andover, KS 67002
Phone: (316) 300-4000
Fax: (316) 300-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1501127 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 1073264 (KS)

Record details

NPI number1275644650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 30, 2008

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