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

Kelly Dotson

Individual provider Physician Assistant · NPI 1164230504

Kelly Dotson is a Physician Assistant in Dallas, Texas. Qualified in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

3900 Junius St Ste 705
Dallas, TX 75246-1627
Phone: (972) 817-7450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20072 (TX)

Record details

NPI number1164230504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address3900 Junius St Ste 705, Dallas, TX 75246-1627

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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