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

Kelly Jane Coburn, PA

Individual provider Medical Physician Assistant · NPI 1528654258

Kelly Jane Coburn, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 2020, 6 years ago. Practices with University of Kentucky, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020
Specialties on file
3
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

800 Rose St Fl 1
Lexington, KY 40536-3403
Phone: (859) 323-6542
Fax: (859) 323-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Village Dr, Edgewood, KY 41017-3403 — (859) 301-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2674 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2674 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2674 (KY)

Record details

NPI number1528654258
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 16, 2020
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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