Individual provider · Type 1 NPI

Jonathan D. Kelly, PA.C.

Medical Physician Assistant · Farmington, NM

NPI number 1053529446 Active

Practice location

622 W Maple St Ste B
Farmington, NM 87401-6589

Other practice locations

  • 102 Llano St, Aztec, NM 87410-2172 · (505) 334-9441

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA054 (NM)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1053529446

Jonathan D. Kelly, PA.C.'s National Provider Identifier is 1053529446, issued on May 18, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington, NM. The record was last updated on Jan 12, 2023.