Individual
MS. JOLENE RAE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1685
Mailing address
5183 N DAYTON AVE, AMES, IA 50010-9458
(515) 232-1427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1046
IA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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