Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ELIZABETH GRAVER PATE, PA-C
ActiveKELLY ELIZABETH GRAVER PATE, PA-C is a Medical Physician Assistant healthcare provider located in JACKSON, California. NPI 1184633935 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · JACKSON, CA
Registration Details
- NPI Number
- 1184633935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2006 (20.00164438499 yrs)
- Last Updated
- Feb 21, 2019
- License
-
PA18164 (CA)
Practice Information
- Address
-
9279 LOCUST ST.JACKSON, CA, 95669Browse CA providers · Browse ZIP 95669
- Phone
- 2092456968
- Fax
- 2092455135
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in JACKSON, CA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER L. RUCKELSHAUS | PA | 1528171287 |
| MARIANNE ELIZABETH LAPOINTE | — | 1225167356 |
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.