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KARL M HOLMES PAC

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1124006887

Individual Registrant:
 KARL M HOLMES PAC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
214 3RD ST  KEYSTONE, IA 52249-9520 US
Tel: 319-442-3215  Fax: 319-442-3217

Contact information for business:
214 3RD ST PO BOX 305 KEYSTONE, IA 52249-9520 US
Tel: 319-442-3215  Fax: 319-442-3217

Registration Information:
NPI: 1124006887
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
IA001034

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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