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Kayla Travis Holland

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

619 19th St S, Birmingham, AL 35249-2222

PECOS Enrollment

This provider is enrolled in PECOS as KAYLA HOLLAND.

Based on the most recent information from CMS, provider Kayla Travis Holland is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1750837811
Provider Type
Individual
Full Name
Holland, Kayla Travis
Title
Mrs.
Credential
P.A. - C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/29/2016
Last Updated
1/27/2021

Contact Information

Practice Location

619 19th St S, Birmingham, AL 35249-2222

(205) 934-4011

Unlisted Fax

Mailing Location

PO Box 55310, Birmingham, AL 35255-5310

(205) 731-9701

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA.1406 Alabama
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Kayla Travis Holland

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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