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Kelly Medina, PA-C
NPI 1013587666 · on the registry since 2021 · sole proprietor
Practice
- Address
- 26520 Cactus Ave
Moreno Valley, CA 92555 - Phone
- (951) 486-4000
- Organisation at this address
- Taqi'S Inc.
County Of Riverside
County Of Riverside
County Of Riverisde
County Of RiversideInferred from a shared address, not stated in the registry. - Clinicians at this address
- 684
Additional practice sites
- 285 Twin Oaks Dr, Nashville, TN
- 333 Murfreesboro Pike, Nashville, TN
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California