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 Luther, PA-C

Individual provider Physician Assistant · NPI 1003210758

Mrs. Kelly Kathleen Luther, PA-C is a Physician Assistant in State College, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Geisinger-Hm Joint Venture LLC, a 428-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
Specialties on file
3
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

1630 N Atherton St
State College, PA 16803-1416
Phone: (814) 238-1279
Fax: (814) 238-1929
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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 MA056994 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003347 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA056994 (PA)

Record details

NPI number1003210758
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Geisinger-Hm Joint Venture Llc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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