Jennifer Renee Kelly, PA
NPI #1619629425 in Longview, Washington
Provider Information
- NPI Number
- 1619629425
- Entity Type
- Individual
- Name
- Jennifer Renee Kelly, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 23, 2022
- Last Updated
- Feb 2, 2023
Practice Location
- Address
- 1615 DELAWARE ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2367
- Phone
- (360) 414-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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