Kelly Denise Medina, PA-C
NPI #1013587666 in Moreno Valley, California
Provider Information
- NPI Number
- 1013587666
- Entity Type
- Individual
- Name
- Kelly Denise Medina, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 27, 2021
- Last Updated
- Feb 27, 2025
Practice Location
- Address
- 26520 CACTUS AVE
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92555-3927
- Phone
- (951) 486-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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