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KELLY FENIMORE-GONZALES, PA-C
PA-C
Physician Assistant
NPI: 1720188295IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA02796(TX)
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
PA02796(TX)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2000
Contact & Hours
- Address
- 5207 HERITAGE AVE
COLLEYVILLE, TX 76034 - Phone
- (817) 355-8000
Quick Facts
- NPI
- 1720188295
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 26
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