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

Mary Michael Kelley, PA-C

Individual provider Physician Assistant · NPI 1689608275

Mary Michael Kelley, PA-C is a Physician Assistant in Kingston, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

396 Broadway
Kingston, NY 12401-4626
Phone: (845) 334-2890
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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 007123 (NY)

Record details

NPI number1689608275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 12, 2007

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