IndividualActive
Kyle Holsted, PA
NPI 1306409818 · Surgical Physician Assistant · Lebanon, NH
Provider details
- NPI number
- 1306409818
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 1492 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Medical Center Drive
Department of Surgery
Lebanon, NH 03756-0001
Phone: (603) 650-8537
Approximate (ZIP-level) locationGet directions
Mailing address
1 Medical Center Drive
Lebanon, NH 03756-0001
Registry dates
- Enumerated
- 2019-04-19
- Last updated
- 2019-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.