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

Kelly Fagan, PA

Individual provider Physician Assistant · NPI 1285192393

Kelly Fagan, PA is a Physician Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-5942
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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 023393 (NY)

Record details

NPI number1285192393
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 7, 2019
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

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