person
Kelly Elizabeth Graver Pate, PA-C
Medical Physician Assistant in Jackson, California
NPI 1184633935

Kelly Elizabeth Graver Pate is a Medical Physician Assistant based in Sacramento, CA and is specialized in Medical. Kelly Elizabeth Graver Pate practices in Jackson, CA and has the professional credentials of PA-C. The NPI Number for Kelly Elizabeth Graver Pate is 1184633935 and holds a License No. PA18164 (California).

The current practice location address for Kelly Elizabeth Graver Pate is 9279 Locust St., Jackson, CA and can be reached out via phone at 209-245-6968 and via fax at 209-245-5135.

Location: 9279 Locust St., Jackson, CA, 95827-2539
person
Provider Profile Details
NPI Number
1184633935
Provider Name
Kelly Elizabeth Graver Pate
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9279 Locust St., Jackson, CA, 95827-2539
Phone Number
209-245-6968
Fax Number
209-245-5135
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0078351 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
9279 Locust St.
City
State
Zip
95669
Phone Number
209-245-6968
Fax Number
209-245-5135
person
Provider Business Mailing Address Details
Address
9279 Locust St.
City
State
Zip
95669
Phone Number
209-245-6968
Fax Number
209-245-5135
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA18164 (California)
Definition
Definition to come...
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