Kelly A Holmes
Pathology, Clinical Laboratory Director, Non-physician in Queens Village, NY. Individual provider (NPI-1).
NPI number1982244968
StatusActive
Last updated in NPPESMay 15, 2025
Details
- NPI
- 1982244968
- Entity type
- Individual (NPI-1)
- Name
- Kelly A Holmes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2020
- Certification date
- May 15, 2025
- Last updated
- May 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
22001 Jamaica AveQueens Village, NY 11428-2140
Phone 718-412-1848
Mailing address
12 Brooklyn Ave Apt 501Valley Stream, NY 11581-1287
Phone 929-404-1011
Other practice locations
16995 137th Ave
Jamaica, NY 11434-4517
Jamaica, NY 11434-4517
Phone 718-528-1503
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