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KELLY ANNE RAYBURN PA-C
NPI 1548228398
Physician Assistant - Surgical in Jbsa Lackland, TX

Active since May 02, 2006
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236(210) 314-0779 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 2, 2019, Nov 23, 2015 (2 updates tracked since 2015).

About Kelly Anne Rayburn Pa-c NPPES

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

KELLY ANNE RAYBURN PA-C (NPI 1548228398) is an individual surgical provider in Jbsa Lackland, Texas, licensed in Texas (PA05332) and active in the NPI registry since May 2006. She maintains a secondary practice location in Live Oak.

NPPES Registry Identity

NPI1548228398
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLY ANNE RAYBURNCredential: PA-C
Location Address1100 WILFORD HALL LOOPJbsa Lackland, TX 78236-5638
Mailing Address10922 Iron SpgHelotes, TX 78023-4569 · (210) 314-0779
Phone(210) 314-0779
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration
✔ NPI 1548228398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA05332
1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236
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Secondary Practice Location 1

Location 112709 Toepperwein Rd Ste 101Live Oak, TX 78233-3259 · Phone (210) 477-5151 · Fax (210) 477-5152

Other Identifiers 2

OtherP01008379TX · Railroad Medicare
Medicaid345120501TX

Other Providers at the Same Location NPPES 20

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

DR. HENRY ANDREW FOERSTER DMD
Dentist (Periodontics)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6990
HEIDI DEARBORN DO
Dermatology
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5350
PARAMJIT BHULLAR MD
Ophthalmology (Cornea and External Diseases Specialist)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9900
SARAH MCDONALD MD
Pediatrics
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4277
DANIEL ALLAN WEIDNER DO
Emergency Medicine
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3403
THOMAS BERNARD HOLLAND PSY. D
Psychologist (Clinical)
1100 WILFORD HALL LOOP
SAN ANTONIO, TX 78236
Bexar County (304) 702-5431
MICHELL ALEXANDRE LLERENA
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MS. KIMBERLY K MORGAN APN
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 925-8318

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 Rayburn's NPI number?

The NPI number for Kelly Rayburn is 1548228398. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Kelly Rayburn located?

Kelly Rayburn practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 314-0779.

What is Kelly Rayburn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kelly Rayburn was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.