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

Lauren Katherine Kelly, PA-C

Individual provider Physician Assistant · NPI 1578214458

Lauren Katherine Kelly, PA-C is a Physician Assistant in Belleville, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2022.

Licensed in
IL, MO
In the registry since
2022
Specialties on file
3
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

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 233-7750
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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 085009876 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 2023028270 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578214458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 12, 2022
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

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