Richard Kelley, PA-C

NPI #1558316786 in Modesto, California

Provider Information

NPI Number: 1558316786
Entity Type: Individual
Name: Richard Kelley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 24, 2006
Last Updated: Jan 3, 2022

Practice Location

Address: 1441 FLORIDA AVE
City: Modesto
State: California
ZIP Code: 95350-4404
Phone: (209) 576-3609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X	Primary

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