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

Individual provider Physician Assistant · NPI 1386643880

Kelly S. Mickulik, PA-C is a Physician Assistant in Reading, Pennsylvania. Qualified in 2001, 25 years ago. Practices with Reading Dermatology Associates PC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
25
Licensed in
PA
In the registry since
2005
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

3317 Penn Ave
Reading, PA 19609-1436
Phone: (610) 750-7891
Fax: (610) 750-7894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2210 Ridgewood Rd, Wyomissing, PA 19610-1167 — (610) 372-0502
  • 2210 Ridgewood Rd, Wyomissing, PA 19610-1167 — (610) 372-0502

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA050888 (PA)

Record details

NPI number1386643880
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESAugust 29, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Reading Dermatology Associates Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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