JONATHAN D KELLY

FARMINGTON, NM
NPI1053529446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NM  PA054)
Enumeration Date2007-05-18
Last Update Date2023-01-12
Business Address
Mr. JONATHAN D KELLY PA.C.
622 W MAPLE ST STE B
FARMINGTON, NM 87401-6589
Phone number: 505-327-4867
Mailing Address
Mr. JONATHAN D KELLY PA.C.
622 W MAPLE ST STE B
FARMINGTON, NM 87401-6589
Phone number: 505-327-4867
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