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

Kelly Kay Ott, PA

Individual provider Physician Assistant · NPI 1992072441

Kelly Kay Ott, PA is a Physician Assistant in Chicago, Illinois. Qualified in 2011, 15 years ago. Practices with Lawndale Christian Health Center, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
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

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone: (872) 588-3000
Fax: (872) 588-3021
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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 085004230 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085-004230 (IL)

Record details

NPI number1992072441
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2011
Last updated in NPPESMarch 7, 2023
Certification dateMarch 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lawndale Christian Health Center — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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