Individual provider · Type 1 NPI

Kelly Aileen Fenimore-Gonzales, PA-C

Physician Assistant · Colleyville, TX

NPI number 1720188295 Active

Practice location

5207 Heritage Ave
Colleyville, TX 76034

Call (817) 355-8000 Map

Fax (817) 391-1070

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA02796 (TX)
Medical Physician Assistant 363AM0700XPA02796 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720188295

Kelly Aileen Fenimore-Gonzales, PA-C's National Provider Identifier is 1720188295, issued on Sep 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colleyville, TX. The record was last updated on Nov 18, 2025.