Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Kathleen Faillo, PA-C

Individual provider Physician Assistant · NPI 1760798052

Mrs. Kelly Kathleen Faillo, PA-C is a Physician Assistant in Crestview Hills, Kentucky. Graduated from Saint Louis University School of Medicine in 2009, 17 years ago. Practices with Radiology Associates of Northern Kentucky PLLC, a 56-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Kentucky.

Years since qualifying
17
Trained at
Saint Louis University School of Medicine
Licensed in
FL, KY
In the registry since
2010
Specialties on file
2
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

500 Thomas More Pkwy Ste 200
Crestview Hills, KY 41017-3454
Phone: (859) 341-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (KY)
Physician Assistant Taxonomy 363A00000X · Licence PA9105470 (FL)

Record details

NPI number1760798052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2010
Last updated in NPPESJune 3, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Radiology Associates Of Northern Kentucky Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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