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

Individual provider Surgical Physician Assistant · NPI 1124312665

Mrs. Kelly Marie Cenname, PA is a Physician Assistant in Utica, New York. Graduated from Albany Medical College of Union University in 2011, 15 years ago. Practices with Mvhs Inc, a 331-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
15
Trained at
Albany Medical College of Union University
In the registry since
2011
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

2211 Genesee St
Utica, NY 13501-5930
Phone: (315) 801-8567
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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

Record details

NPI number1124312665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 1, 2011
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Mvhs Inc — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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