person
Tammy Boyette Kelly, PA-C
Medical Physician Assistant in La Mesa, California
NPI 1215267349

Tammy Boyette Kelly is a Medical Physician Assistant based in La Mesa, CA and is specialized in Medical. Tammy Boyette Kelly practices in La Mesa, CA and has the professional credentials of PA-C. The NPI Number for Tammy Boyette Kelly is 1215267349 and holds a License No. 0110003655 (California).

The current practice location address for Tammy Boyette Kelly is 7051 Alvarado Rd, La Mesa, CA and can be reached out via phone at 619-460-7775.

Location: 7051 Alvarado Rd, La Mesa, CA, 91942-8901
person
Provider Profile Details
NPI Number
1215267349
Provider Name
Tammy Boyette Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
7051 Alvarado Rd, La Mesa, CA, 91942-8901
Phone Number
619-460-7775
Fax Number
Provider Enumeration Date
01/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215267349 01 TRICARE/HEALTHNET
Y0J7G 01 FL BCBS OF FL
009498400 05 FL
institution
Provider Business Practice Location Address Details
Address
7051 Alvarado Rd
City
State
Zip
91942-8901
Phone Number
619-460-7775
Fax Number
person
Provider Business Mailing Address Details
Address
7051 Alvarado Rd
City
State
Zip
91942-8901
Phone Number
619-460-7775
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110003655 (Virginia)
Definition
Definition to come...
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