Mr. RANDALL DOUGLAS KELLY MHS, DMSc, PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1922393974- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MHS, DMSc, PA-C
- Status
- Active
Contact & Location
- Address
- 256 E HURLBURT AVE STE 117, HERMISTON, OR, 978382443
- Phone
- (541) 303-3558
- Fax
- (509) 593-4644
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: OR #184529
Physician Assistant, Medical
License: OR #PA184529
Preventive Medicine, Addiction Medicine
License: OR #PA184529
Physician Assistant
License: WA #PA60205772
Preventive Medicine, Addiction Medicine
License: WA #PA60205772
Physician Assistant
Primary License: OR #PA184529