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

Kristen Kelly, PA-C

Individual provider Physician Assistant · NPI 1922617612

Kristen Kelly, PA-C is a Physician Assistant in Greenlawn, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
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

31 W Maple Rd
Greenlawn, NY 11740-1024
Phone: (631) 560-7359
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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 025374 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1922617612
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

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