Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE KELLEY, PA
Active Sole ProprietorSHANE KELLEY, PA is a Physician Assistant healthcare provider located in FULLERTON, California. NPI 1073244851 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FULLERTON, CA
Registration Details
- NPI Number
- 1073244851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2022 (4.1449589883313 yrs)
- Last Updated
- Jun 22, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1716 N MOUNTAIN VIEW PLFULLERTON, CA, 928311228Browse CA providers · Browse ZIP 92831
- Phone
- 9492801387
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FULLERTON, CA
| Name | Credential | NPI |
|---|---|---|
| MS. PEI-JING MA | PA | 1912989591 |
| MS. KAREN MARIE TRABILCY | PA-C | 1982616868 |
| ERICA AMBROZEVICIUS GOMEZ | DMSC, MPAP, PA-C | 1316044282 |
| MELINDA SANCHEZ GARCIA | PA | 1437226263 |
| QUINT SKIPTON | P.A.-C | 1043379985 |
| SHANNON L CORNWELL | PA | 1902961626 |
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.