Individual
MRS. KARA LYN HOLYOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3522 E SPRING WHEAT LN, GILBERT, AZ 85296-0650
(480) 294-5262
Mailing address
1359 S PORTER ST, GILBERT, AZ 85296-4230
(480) 294-5262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
7317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
486608
—
AZ
Enumeration date
09/21/2018
Last updated
09/21/2021
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