Individual provider · Type 1 NPI

Kelli Kaye Hernandez, PA-C

Medical Physician Assistant · Orange, CA

NPI number 1639489727 Active

Practice location

700 S Tustin St
Orange, CA 92866-3425

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA21159 (CA)
Medical Physician Assistant Primary 363AM0700XPA21159 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1639489727

Kelli Kaye Hernandez, PA-C's National Provider Identifier is 1639489727, issued on Oct 7, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange, CA. The record was last updated on Apr 19, 2021.