person
Mr. Jonathan D Kelly, PAC
Medical Physician Assistant in Farmington, New Mexico
NPI 1053529446

Jonathan D Kelly is a Medical Physician Assistant based in Farmington, NM and is specialized in Medical. Jonathan D Kelly practices in Farmington, NM and has the professional credentials of PAC. The NPI Number for Jonathan D Kelly is 1053529446 and holds a License No. PA054 (New Mexico).

The current practice location address for Jonathan D Kelly is 622 W Maple St Ste B, Farmington, NM and can be reached out via phone at 505-327-4867.

Location: 622 W Maple St Ste B, Farmington, NM, 87401-6589
person
Provider Profile Details
NPI Number
1053529446
Provider Name
Jonathan D Kelly
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
622 W Maple St Ste B, Farmington, NM, 87401-6589
Phone Number
505-327-4867
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
622 W Maple St Ste B
City
State
Zip
87401-6589
Phone Number
505-327-4867
Fax Number
person
Provider Business Mailing Address Details
Address
622 W Maple St Ste B
City
State
Zip
87401-6589
Phone Number
505-327-4867
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA054 (New Mexico)
Definition
Definition to come...
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