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

Kelly M Polley, PA

Individual provider Physician Assistant · NPI 1851706352

Kelly M Polley, PA is a Physician Assistant in Columbia, Missouri. Qualified in 2014, 12 years ago. Practices with Sedalia Urgent Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
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

1 Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 884-4400
Fax: (573) 884-5994
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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 2014021752 (MO)

Record details

NPI number1851706352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 24, 2014
Last updated in NPPESSeptember 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sedalia Urgent Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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