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

Kathleen Kelly, PA-C

Individual provider Physician Assistant · NPI 1508315391

Kathleen Kelly, PA-C is a Physician Assistant in Englewood, Ohio. Qualified in 2016, 10 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
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

9000 N Main St Ste 232
Englewood, OH 45415
Phone: (937) 277-8988
Fax: (937) 277-9035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3535 Southern Blvd, Kettering, OH 45429-1221 — (937) 395-6010
  • 3535 Southern Blvd, Kettering, OH 45429-1221 — (937) 395-6010

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.004784RX (OH)

Record details

NPI number1508315391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

Other providers in Englewood