Individual
MARY HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1899
KY
363A00000X
Physician Assistant
TC273
KY
363AM0700X
Medical Physician Assistant
PA1899
KY
363AS0400X
Surgical Physician Assistant
Primary
PA1899
KY
Other
Enumeration date
06/19/2014
Last updated
09/22/2025
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