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

Keely Egan Kopp, PA-C

Individual provider Physician Assistant · NPI 1356506190

Keely Egan Kopp, PA-C is a Physician Assistant in Wailuku, Hawaii. Qualified in 2008, 18 years ago. Practices with Maui Medical Group Inc, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii and Maine.

Years since qualifying
18
Licensed in
HI, ME
In the registry since
2008
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

2180 Main St
Wailuku, HI 96793-1625
Phone: (808) 242-6464
Fax: (808) 242-4292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-522 (HI)
Physician Assistant Taxonomy 363A00000X · Licence PA001129 (ME)

Record details

NPI number1356506190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2008
Last updated in NPPESOctober 22, 2013
Mailing address2180 Main St, Wailuku, HI 96793-1625

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Maui Medical Group Inc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wailuku