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

Kellie A Dudy, PA-C

Individual provider Surgical Physician Assistant · NPI 1740419621

Kellie A Dudy, PA-C is a Physician Assistant in Fresno, California. Qualified in 2009, 17 years ago. Practices with Sharp Rees-Stealy Medical Group Inc, a 874-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7471 N Fresno St
Fresno, CA 93720-2457
Phone: (559) 436-4500
Fax: (559) 261-1526
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20407 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA20407 (CA)

Record details

NPI number1740419621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2009
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address7471 N Fresno St, Fresno, CA 93720-2457

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sharp Rees-Stealy Medical Group Inc — 874 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fresno