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

Kelley Mulfinger McIlvaine, PA

Individual provider Physician Assistant · NPI 1619338688

Kelley Mulfinger McIlvaine, PA is a Physician Assistant in Palm Harbor, Florida. Qualified in 2015, 11 years ago. Practices with Palm Harbor Dermatology PA, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
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

4197 Woodlands Pkwy
Palm Harbor, FL 34685-3493
Phone: (727) 786-3810
Fax: (727) 786-3855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 S Macdill Ave Ste 201, Tampa, FL 33609-3489 — (813) 609-3810

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111274 (FL)

Record details

NPI number1619338688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 17, 2016
Last updated in NPPESSeptember 30, 2023
Certification dateSeptember 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Palm Harbor Dermatology Pa — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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