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

Makena Loryn Kelly, PA-C

Individual provider Physician Assistant · NPI 1093306169

Makena Loryn Kelly, PA-C is a Physician Assistant in Nampa, Idaho. Qualified in 2020, 6 years ago. Works from 2 locations.

Years since qualifying
6
In the registry since
2021
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

9951 W St Lukes Dr
Nampa, ID 83687-7914
Phone: (208) 467-6700
Fax: (208) 463-6044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13424 E Mission Ave, Spokane Valley, WA 99216-2759 — (509) 462-2275

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1093306169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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