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

Kailey R Kelly, PA

Individual provider Surgical Physician Assistant · NPI 1033827175

Kailey R Kelly, PA is a Physician Assistant in Chandler, Arizona. Qualified in 2022, 4 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
4
Licensed in
AZ, OR
In the registry since
2022
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

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone: (480) 728-3000
Fax: (480) 728-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Sw Ramsey Avenue, Grants Pass, OR 97527-5554 — (541) 472-7000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11343 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA214290 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 11343 (AZ)

Record details

NPI number1033827175
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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