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

Mrs. Kelly Bailey Kruse, PAC

Individual provider Surgical Physician Assistant · NPI 1942235247

Mrs. Kelly Bailey Kruse, PAC is a Physician Assistant in Charleston, South Carolina. Graduated from University of Virginia School of Medicine in 1993, 33 years ago. Practices with Roper Saint Francis Physicians Network, a 532-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
33
Trained at
University of Virginia School of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2093 Henry Tecklenburg Dr Ste 200
Charleston, SC 29414-5742
Phone: (843) 958-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 496 (SC)

Record details

NPI number1942235247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Roper Saint Francis Physicians Network — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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