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

Katelyn Kelley

Individual provider Physician Assistant · NPI 1881435964

Katelyn Kelley is a Physician Assistant in Gainesville, 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
2024
Specialties on file
2
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 294-8278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5850 E Still Cir, Mesa, AZ 85206-3618 — (480) 219-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121571 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1881435964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing addressPo Box 100238, Gainesville, FL 32610-0238

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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