Individual provider · Type 1 NPI
Kelly Elizabeth Graver Pate, PA-C
Medical Physician Assistant · Jackson, CA
NPI number
1184633935
Active
Practice location
9279 Locust St.
Jackson, CA 95669
Fax (209) 245-5135
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA18164 (CA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Jackson
About NPI 1184633935
Kelly Elizabeth Graver Pate, PA-C's National Provider Identifier is 1184633935, issued on Aug 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jackson, CA. The record was last updated on Feb 21, 2019.