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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMMY BOYETTE KELLY, PA-C

Active

TAMMY BOYETTE KELLY, PA-C is a Medical Physician Assistant healthcare provider located in LA MESA, California. NPI 1215267349 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LA MESA, CA

Registration Details

NPI Number
1215267349
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2010 (16.540755195736 yrs)
Last Updated
Oct 26, 2018
Licenses
0110003655 (VA)
PA9107316 (FL)
0010-02138 (NC)
PA54682 (CA)

Practice Information

Address
7051 ALVARADO RD
LA MESA, CA, 919428901
Browse CA providers · Browse ZIP 91942
Phone
6194607775
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LA MESA, CA

Name Credential NPI
PATRICK C ASTOURIAN MS PA-C 1932294279
ABRAHAM DANESHVAR PA-C 1245359140
MR. KEVIN MATTHEW DELGADILLO PA-C 1770750978
CYNTHIA MARIE ADAMS PA-C 1447564141
LES ALLEN MERSHON PA-C 1265723985
YASHVEER PRASAD DUBBULA PA-C 1972913622
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.