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

Kelly A Bennington, PA

Individual provider Physician Assistant · NPI 1679056188

Kelly A Bennington, PA is a Physician Assistant in Springfield, Ohio. Qualified in 2018, 8 years ago. Practices with Cleanslate Medical Group of Ohio LLC, a 10-clinician group. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2701 Moorefield Rd
Springfield, OH 45502-8207
Phone: (937) 399-6650
Fax: (937) 399-8558
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OH)

Record details

NPI number1679056188
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESSeptember 11, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cleanslate Medical Group Of Ohio Llc — 10 clinicians
Accepts Medicare assignment Not indicated

Other providers in Springfield