Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Ann Doty, PA

Individual provider Physician Assistant · NPI 1003867474

Kelly Ann Doty, PA is a Physician Assistant in Ridgecrest, California. Qualified in 1995, 31 years ago. Practices with Ridgecrest Regional Hospital, a 94-clinician group and accepts Medicare assignment. Licensed in Alaska and California.

Years since qualifying
31
Licensed in
AK, CA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1111 N China Lake Blvd Ste 190
Ridgecrest, CA 93555-3131
Phone: (760) 499-3855
Fax: (760) 499-3870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2319 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 14159 (CA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 404396 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 7673 (CA)

Record details

NPI number1003867474
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Ridgecrest Regional Hospital — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ridgecrest