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

Kelly Kaczor, PA

Individual provider Physician Assistant · NPI 1104355973

Kelly Kaczor, PA is a Physician Assistant in Amherst, New York. Qualified in 2017, 9 years ago. Practices with Paul R Young MD PLLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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

4955 N Bailey Ave Ste 202
Amherst, NY 14226-1206
Phone: (716) 832-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104355973
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 6, 2017
Last updated in NPPESJune 6, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Paul R Young Md Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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