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

Colleen R Kelly, PA

Individual provider Physician Assistant · NPI 1245268754

Colleen R Kelly, PA is a Physician Assistant in Leawood, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2006.

Licensed in
KS, MO
In the registry since
2006
Specialties on file
3
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

3651 College Blvd
Leawood, KS 66211-1910
Phone: (913) 319-7633
Fax: (913) 253-1764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1500630 (KS)
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 119557 (MO)

Record details

NPI number1245268754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMay 17, 2019

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