MR. Kelly L. Mcdonald, PA

NPI #1972516359 in Estancia, New Mexico

Provider Information

NPI Number: 1972516359
Entity Type: Individual
Name: MR. Kelly L. Mcdonald, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 15, 2006
Last Updated: Sep 8, 2023

Practice Location

Address: 903 5TH ST # C
City: Estancia
State: New Mexico
ZIP Code: 87016-1155
Phone: (505) 384-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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