Dr KELLY MAUREEN HOLT is a female medical professional, specializing in Nurse Practitioner. She graduated in 2008.
PAUL D WAGNER MD INC
4060 4TH AVE
SUITE 100
SAN DIEGO
CA
921032120
Tel: 6197189444
| Npi | 1205169711 |
| Pac Id | 7012195621 |
| Professional Enrollment Id | I20171103000784 |
| Last Name | HOLT |
| First Name | KELLY |
| Middle Name | MAUREEN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PAUL D WAGNER MD INC |
| Group Practice Pac Id | 6709799042 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 4060 4TH AVE |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 921032120 |
| Phone Number | 6197189444 |
| Hospital Affiliation Ccn 1 | 050424 |
| Hospital Affiliation Lbn 1 | SCRIPPS GREEN HOSPITAL |
| Hospital Affiliation Ccn 2 | 050503 |
| Hospital Affiliation Lbn 2 | SCRIPPS MEMORIAL HOSPITAL - ENCINITAS |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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