RANDALL DOUGLAS KELLY

HERMISTON, OR
NPI1922393974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA184529)
Additional Taxonomies2083A0300X Preventive Medicine, Addiction Medicine
(Licence: OR  PA184529)
2083A0300X Preventive Medicine, Addiction Medicine
(Licence: WA  PA60205772)
363A00000X Physician Assistant
(Licence: WA  PA60205772)
Enumeration Date2011-06-16
Last Update Date2024-08-10
Business Address
Mr. RANDALL DOUGLAS KELLY MHS, DMSc, PA-C
256 E HURLBURT AVE STE 117
HERMISTON, OR 97838-2443
Phone number: 541-303-3558
Mailing Address
Mr. RANDALL DOUGLAS KELLY MHS, DMSc, PA-C
5426 ROAD 68 STE D253
PASCO, WA 99301-5268
Phone number: 541-303-3558