Dr JONATHAN D KELLY is a male medical professional, specializing in Physician Assistant. He graduated in 2002.
SAN JUAN REGIONAL MEDICAL CENTER INC
120 LLANO ST
AZTEC
NM
874102172
Tel: 5053343404
| Npi | 1053529446 |
| Pac Id | 7517083926 |
| Professional Enrollment Id | I20100922001252 |
| Last Name | KELLY |
| First Name | JONATHAN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Group Practice Pac Id | 4587559505 |
| Number Of Group Practice Members | 136 |
| Line 1 Street Address | 120 LLANO ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AZTEC |
| State | NM |
| Zip Code | 874102172 |
| Phone Number | 5053343404 |
| Hospital Affiliation Ccn 1 | 320005 |
| Hospital Affiliation Lbn 1 | SAN JUAN REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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