Justin Patrick Kelley, PA

NPI #1902039514 in Paola, Kansas

Provider Information

NPI Number: 1902039514
Entity Type: Individual
Name: Justin Patrick Kelley, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 30, 2009
Last Updated: Aug 30, 2009

Practice Location

Address: 2102 BAPTISTE DR
Address 2: SUITE # E
City: Paola
State: Kansas
ZIP Code: 66071-1314
Phone: (913) 557-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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