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

Kelly O'Brien, PA-C

Individual provider Physician Assistant · NPI 1083212344

Kelly O'Brien, PA-C is a Physician Assistant in Edgewood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

711 Medical Village Dr
Edgewood, KY 41017
Phone: (859) 873-0452
Fax: (859) 578-3800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2701 (KY)
Physician Assistant Taxonomy 363A00000X · Licence TC966 (KY)

Record details

NPI number1083212344
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022

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