KYLE LANCE HOLSTED PA NPI 1306409818

NPI Information

  • NPI: 1306409818
  • Provider Name: KYLE LANCE HOLSTED, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 MEDICAL CENTER DRIVE
    DEPARTMENT OF SURGERY
    LEBANON, NH
    ZIP 03756
  • Phone: (603) 650-8537

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NPI Details

Kyle Lance Holsted, PA is a surgical physician assistant in Lebanon, NH with 7 years of experience. Kyle Lance Holsted, PA NPI is 1306409818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MEDICAL CENTER DRIVE
DEPARTMENT OF SURGERY
LEBANON, NH
ZIP 03756-001
Phone: (603) 650-8537

The NPI 1306409818 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2019 and was last updated on 9/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical1492NEW HAMPSHIREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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