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Mr. Randall Douglas Kelly, MHS,DMSC,PA-C
Physician Assistant in Hermiston, Oregon
NPI 1922393974

Randall Douglas Kelly is a Physician Assistant based in Pasco, OR. Randall Douglas Kelly practices in Hermiston, OR and has the professional credentials of MHS,DMSC,PA-C. The NPI Number for Randall Douglas Kelly is 1922393974 and holds a License No. PA184529 (Oregon).

The current practice location address for Randall Douglas Kelly is 256 E Hurlburt Ave Ste 117, Hermiston, OR and can be reached out via phone at 541-303-3558 and via fax at 509-593-4644.

Location: 256 E Hurlburt Ave Ste 117, Hermiston, OR, 99301-5268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922393974
Provider Name
Randall Douglas Kelly
Credential
MHS,DMSC,PA-C
Provider Entity Type
Individual
Gender
Male
Address
256 E Hurlburt Ave Ste 117, Hermiston, OR, 99301-5268
Phone Number
541-303-3558
Fax Number
509-593-4644
Provider Enumeration Date
06/16/2011
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0281857 01 WA LABOR & INDUSTRIES
2013576 05 WA
institution
Provider Business Practice Location Address Details
Address
256 E Hurlburt Ave Ste 117
City
Hermiston
State
Oregon
Zip
97838-2443
Phone Number
541-303-3558
Fax Number
509-593-4644
person
Provider Business Mailing Address Details
Address
256 E Hurlburt Ave Ste 117
City
Hermiston
State
Oregon
Zip
97838-2443
Phone Number
541-303-3558
Fax Number
509-593-4644
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
PA60205772 (Washington)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA184529 (Oregon)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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