Individual
HOLLY MARIE STILZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
740 S LIMESTONE, SUITE A-301, LEXINGTON, KY 40536-0001
(859) 323-6494
(859) 257-4682
Mailing address
740 S LIMESTONE, SUITE A-301, LEXINGTON, KY 40536-0001
(859) 323-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1885
KY
363AM0700X
Medical Physician Assistant
PA1885
KY
363AS0400X
Surgical Physician Assistant
PA1885
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1885
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
05/13/2010
Last updated
05/05/2021
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