IndividualActive
Kelly Hall, PA-C
NPI 1730603978 · Physician Assistant · Kirtland Afb, NM
Provider details
- NPI number
- 1730603978
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Military Health Care Provider171000000X
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-5522
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
2050a 2nd St Se
Kirtland Afb, NM 87117-5522
Registry dates
- Enumerated
- 2017-07-31
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.