Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANNE RAYBURN, PA-C
ActiveKELLY ANNE RAYBURN, PA-C is a Surgical Physician Assistant healthcare provider located in JBSA LACKLAND, Texas. NPI 1548228398 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1548228398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2006 (20.251240829164 yrs)
- Last Updated
- Dec 2, 2019
- License
-
PA05332 (TX)
Practice Information
- Address
-
1100 WILFORD HALL LOOPJBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2103140779
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH MARSHALL BARTLE II | PA-C | 1437119195 |
| MICHAEL J RUTTER | MPAS, PA-C | 1801952015 |
| CARL EDWARD BEMIS | PHYSICIAN ASSISTANT | 1497998504 |
| STEPHEN ELLEDGE | P.A. | 1063829653 |
| MS. CHANISE CYRUS | PA-C, DSC, MPAS | 1083080691 |
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.