NPI 1053529446

Jonathan D Kelly, PAC

Practitioner Medical Physician Assistant Farmington, NM

Practice location

Address: 622 W Maple St STE B, Farmington, NM 87401-6589
Phone: (505) 327-4867

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA054 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1053529446
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2007
Record last updated: 12 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.