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

Maryam Bethany Kelly, PA-C

Individual provider Physician Assistant · NPI 1891621421

Maryam Bethany Kelly, PA-C is a Physician Assistant in Lowville, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
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

7785 N State St
Lowville, NY 13367-1229
Phone: (315) 376-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1891621421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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