Individual provider · Type 1 NPI
Lisa Kelly, PA-C
Medical Physician Assistant · Grand Prairie, TX
NPI number
1801187158
Active
Practice location
2740 N Hwy 360
Grand Prairie, TX 75050-6403
Mailing address
925 Wildwood Cir
Grapevine, TX 76051-6275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA05811 (TX) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Healthtexas Provider NetworkFamily Medicine Physician Grand Prairie, TX NPI 1528063146
- Elsie Manuel, MSN, APRN, FNP-BCFamily Nurse Practitioner Grand Prairie, TX NPI 1013236652
- James David Peters, DOObstetrics & Gynecology Physician Grand Prairie, TX NPI 1407802259
- Susan Renee Carlson, MSN, ANPAdult Health Nurse Practitioner Grand Prairie, TX NPI 1043266711
Other medical physician assistant providers in Grand Prairie
About NPI 1801187158
Lisa Kelly, PA-C's National Provider Identifier is 1801187158, issued on Apr 20, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Prairie, TX. The record was last updated on Apr 4, 2022.