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

Mr. Kevin A Shelby, PA-C

Individual provider Medical Physician Assistant · NPI 1164455838

Mr. Kevin A Shelby, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Reconstructive Orthopaedic Associates II LLC, a 275-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
21
Licensed in
PA
In the registry since
2006
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

2630 Holme Ave 2nd Fl
Philadelphia, PA 19152-3004
Phone: (267) 339-3500
Fax: (267) 339-3763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA052311 (PA)

Record details

NPI number1164455838
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESMay 13, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Reconstructive Orthopaedic Associates Ii Llc — 275 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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