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

Kelsey Butler

Individual provider Physician Assistant · NPI 1407536774

Kelsey Butler is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Samra Plastic and Reconstructive Surgery LLC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

600 S 43rd St
Philadelphia, PA 19104-4418
Phone: (610) 502-4531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407536774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 23, 2023
Certification dateJuly 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Samra Plastic And Reconstructive Surgery Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Philadelphia