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

Dr. Kaidden Kelly, DMSC, PA-C

Individual provider Physician Assistant · NPI 1083124135

Dr. Kaidden Kelly, DMSC, PA-C is a Physician Assistant in Kailua Kona, Hawaii. Qualified in 2017, 9 years ago. Practices with Workstar Occupational Health Systems Inc, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
9
Licensed in
HI
In the registry since
2017
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

75-184 Hualalai Rd Ste 302
Kailua Kona, HI 96740-1719
Phone: (808) 329-0111
Fax: (808) 365-5811
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-785 (HI)

Record details

NPI number1083124135
Entity typeIndividual (Type 1)
GenderMale
Credentials DMSC , PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Workstar Occupational Health Systems Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Kailua Kona