Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaly R Macconnell, PA-C

Individual provider Physician Assistant · NPI 1295045474

Kaly R Macconnell, PA-C is a Physician Assistant in Lansdale, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Pennsylvania Dermatology Partners Inc, a 74-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1709 N Broad St
Lansdale, PA 19446-1115
Phone: (215) 362-5555
Fax: (215) 362-6353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1259 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6373 — (610) 437-4134
  • 130 S Bryn Mawr Ave Ste H321, Bryn Mawr, PA 19010 — (484) 337-4097
  • 5458 Ridge Ave, Philadelphia, PA 19128-3732 — (215) 487-1887
  • 385 Oxford Valley Rd Ste 420, Yardley, PA 19067-7723 — (215) 321-3500

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA054607 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA002538 (PA)

Record details

NPI number1295045474
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2010
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address1709 N Broad St, Lansdale, PA 19446-1115

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Pennsylvania Dermatology Partners Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lansdale