IndividualActive
Holly De La Pena, PA-C
NPI 1952435570 · Surgical Physician Assistant · London, KY
Provider details
- NPI number
- 1952435570
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1028899 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 City Hill Dr
London, KY 40741-3038
Phone: (606) 878-6633
Approximate (ZIP-level) locationGet directions
Mailing address
939 Sasser School Rd
London, KY 40744-8486
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2011-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.