Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY L. MCDONALD, PA
ActiveMR. KELLY L. MCDONALD, PA is a Physician Assistant healthcare provider located in ESTANCIA, New Mexico. NPI 1972516359 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ESTANCIA, NM
Registration Details
- NPI Number
- 1972516359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (19.816681867877 yrs)
- Last Updated
- Sep 8, 2023
- Licenses
-
237 (NM)PA2013-0057 (NM)
Practice Information
- Address
-
903 5TH ST # CESTANCIA, NM, 870161155Browse NM providers · Browse ZIP 87016
- Phone
- 5053842777
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ESTANCIA, NM
| Name | Credential | NPI |
|---|---|---|
| ANDREW THOMAS THEUS | PA-C | 1568029239 |
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.