Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY AILEEN FENIMORE-GONZALES, PA-C
ActiveKELLY AILEEN FENIMORE-GONZALES, PA-C is a Physician Assistant healthcare provider located in COLLEYVILLE, Texas. NPI 1720188295 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COLLEYVILLE, TX
Registration Details
- NPI Number
- 1720188295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2006 (19.891435426451 yrs)
- Last Updated
- Nov 18, 2025
- Licenses
-
PA02796 (TX)PA02796 (TX)
Practice Information
- Address
-
5207 HERITAGE AVECOLLEYVILLE, TX, 76034Browse TX providers · Browse ZIP 76034
- Phone
- 8173558000
- Fax
- 8173911070
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in COLLEYVILLE, TX
| Name | Credential | NPI |
|---|---|---|
| LISA ANN KERICH | PA | 1316977234 |
| MS. NIVES CHAN | PA | 1912059924 |
| CHRISTINE READ | PA | 1700133436 |
| KRISTA ALLEN | PA-C | 1770822256 |
| MR. STEVEN ROBERT SOUDERS | PA-C | 1871979674 |
| BLAKE ALLEN NEELEY | PA-C | 1346780798 |
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.