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

Kelly N O'Connor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841849312

Kelly N O'Connor is a Physician Assistant in Jackson, Wyoming. Graduated from University of Washington School of Medicine in 2020, 6 years ago. Practices with Teton Dermatology LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
6
Trained at
University of Washington School of Medicine
Licensed in
WY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

984 W Broadway Ste 4
Jackson, WY 83001
Phone: (307) 734-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 — (206) 616-4001

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence PT949 (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841849312
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2019
Last updated in NPPESSeptember 9, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Teton Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson