1. Home
  2. Directory
  3. California
  4. Murrieta
  5. Clinic Center
  6. NPI Profile

KELLY L MCKERAHAN D O A PROFESSIONAL MEDICAL CORPORATION
NPI 1508110503
Clinic/Center - Primary Care in Murrieta, CA

Active since October 30, 2012
25095 JEFFERSON AVE STE 202, MURRIETA, CA 92562(951) 696-9566(951) 696-9536 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Mckerahan D O A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY L MCKERAHAN D O A PROFESSIONAL MEDICAL CORPORATION (NPI 1508110503) is a healthcare organization registered as a primary care in Murrieta, California and active in the NPI registry since October 2012. The organization lists Kelly Lee Mckerahan, Physician, as its authorized official.

NPPES Registry Identity

NPI1508110503
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKELLY L MCKERAHAN D O A PROFESSIONAL MEDICAL CORPORATION
Location Address25095 JEFFERSON AVE STE 202Murrieta, CA 92562-9107
Mailing Address25095 Jefferson Ave Ste 202Murrieta, CA 92562-9107 · (951) 696-9566 · Fax (951) 696-9536
Phone(951) 696-9566
Fax(951) 696-9536
Organization SubpartNo
Authorized OfficialKelly Lee MckerahanPhysician · (951) 696-9566
Enumeration DateOctober 30, 2012
Last NPPES UpdateNovember 13, 2012
✔ NPI 1508110503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · 20A6780
25095 JEFFERSON AVE STE 202, Murrieta, CA 92562
Open in Google Maps ↗

Other Identifiers 2

OtherGQ212APtan
Medicare UPIN1508110503CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY LEE MCKERAHAN D.O.
Family Medicine
25095 JEFFERSON AVE STE 202
MURRIETA, CA 92562
Riverside County (951) 696-9566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly L Mckerahan D O A Professional Medical Corporation's NPI number?

The NPI number for Kelly L Mckerahan D O A Professional Medical Corporation is 1508110503. It was assigned to this organization in the NPPES registry on October 30, 2012.

Where is Kelly L Mckerahan D O A Professional Medical Corporation located?

Kelly L Mckerahan D O A Professional Medical Corporation is located at 25095 Jefferson Ave Ste 202, Murrieta, CA 92562. The listed phone number is (951) 696-9566.

What is Kelly L Mckerahan D O A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kelly L Mckerahan D O A Professional Medical Corporation was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.