MR. RANDALL KELLY, MHS, DMSC, PA-C
Physician Assistant
Active
Individual
NPI: 1922393974
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA60205772 (WA) |
| Preventive Medicine - Addiction Medicine | 2083A0300X | No | PA184529 (OR) |
| Physician Assistant - Medical | 363AM0700X | No | PA184529 (OR) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 184529 (OR) |
Frequently Asked Questions
NPI 1922393974 is the National Provider Identifier for MR. RANDALL KELLY, MHS, DMSC, PA-C, a Physician Assistant provider located in Hermiston, OR. This NPI was enumerated on June 16, 2011.
MR. RANDALL KELLY, MHS, DMSC, PA-C practices at 256 E HURLBURT AVE STE 117, Hermiston, OR 97838.
Quick Facts
- NPI
- 1922393974
- Type
- Individual
- Enumerated
- Jun 16, 2011
- Last Updated
- Nov 14, 2025
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