Jonathan D. Kelly, PA.C.
Physician Assistant · Farmington, NM
UnclaimedPA.C.NPI 1053529446
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2007-05-18
- Practice location
- Farmington, NM
- Last NPPES update
- 2023-01-12
State licenses
- NM · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.