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

Daniel William Kelly, PA-C

Individual provider Physician Assistant · NPI 1689565566

Daniel William Kelly, PA-C is a Physician Assistant in Daytona Beach, Florida. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Phone: (386) 310-2160
Fax: (386) 310-2106
Show map & directions

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

Additional practice locations (1)

  • 2549 Maitland Crossing Way Apt 11-308, Orlando, FL 32810-7111 — (407) 782-5300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120753 (FL)

Record details

NPI number1689565566
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

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
Practice locations2 on file with Medicare

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