Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN D KELLY, PA.C.
ActiveMR. JONATHAN D KELLY, PA.C. is a Medical Physician Assistant healthcare provider located in FARMINGTON, New Mexico. NPI 1053529446 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FARMINGTON, NM
Registration Details
- NPI Number
- 1053529446
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.200139054226 yrs)
- Last Updated
- Jan 12, 2023
- License
-
PA054 (NM)
Practice Information
- Address
-
622 W MAPLE ST STE BFARMINGTON, NM, 874016589Browse NM providers · Browse ZIP 87401
- Phone
- 5053274867
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| MARK ALLEN LIMBACK | P.A. | 1801811146 |
| MRS. SUSAN ELLEN RAGO | PA-C | 1184640831 |
| REID ACKERMAN | P.A-C | 1184637407 |
| MR. GARY JOHN TEARE | PAC | 1306942792 |
| CAROL W MILLER | — | 1336201136 |
| DOUGLAS EUGENE SHAFFER | PAC | 1639225055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.