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

Individual provider Physician Assistant · NPI 1528580792

Kelly Rembolt, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in California and Pennsylvania. Registered with an NPI since 2017.

Licensed in
CA, PA
In the registry since
2017
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

401 W Allegheny Ave
Philadelphia, PA 19133-3644
Phone: (215) 291-2500
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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 58595 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA059130 (PA)

Record details

NPI number1528580792
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

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