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

Michael D Kelley, PA

Individual provider Surgical Physician Assistant · NPI 1043284698

Michael D Kelley, PA is a Physician Assistant in Kettering, Ohio. Qualified in 2004, 22 years ago. Practices with Ryan Hinman MD LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 395-6668
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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 50003217 (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50003217 (OH)

Record details

NPI number1043284698
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address3535 Southern Blvd, Kettering, OH 45429-1221

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ryan Hinman Md Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Kettering