Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDALL DOUGLAS KELLY, MHS, DMSC, PA-C
ActiveMR. RANDALL DOUGLAS KELLY, MHS, DMSC, PA-C is a Physician Assistant healthcare provider located in HERMISTON, Oregon. NPI 1922393974 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HERMISTON, OR
Registration Details
- NPI Number
- 1922393974
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2011 (15.016493644041 yrs)
- Last Updated
- Nov 14, 2025
- Licenses
-
PA184529 (OR)PA60205772 (WA)PA184529 (OR)PA60205772 (WA)184529 (OR)
Practice Information
- Address
-
256 E HURLBURT AVE STE 117HERMISTON, OR, 978382443Browse OR providers · Browse ZIP 97838
- Phone
- 5413033558
- Fax
- 5095934644
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- 2083A0300X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Physician Assistant Providers in HERMISTON, OR
| Name | Credential | NPI |
|---|---|---|
| MS. NICOLETTE LEE THOMPSON | PA-C | 1922143445 |
| MR. DANIEL A BROWN | PA-C | 1699090407 |
| JASON LEE JOHNSTON | — | 1740547439 |
| MATTHEW C MARSHALL | MPAS, PA-C | 1588924781 |
| MS. LORI FARMER | PA-C | 1932504115 |
| SARAH GALVEZ | — | 1619333887 |
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.