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

Kelly Farrell

Individual provider Physician Assistant · NPI 1285602722

Kelly Farrell is a Physician Assistant in Williamsport, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2006
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Practice location Address checks out

740 High St Ste 3002 Ste 3002
Williamsport, PA 17701-3102
Phone: (570) 321-2820
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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 MA051520 (PA)

Record details

NPI number1285602722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2006
Last updated in NPPESJune 15, 2021
Certification dateJanuary 12, 2021
Mailing address1201 Grampian Blvd, Suite 3002, Williamsport, PA 17701-1900

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Williamsport