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

MS. Kelly Cicotte, PA-C

Individual provider Physician Assistant · NPI 1891382719

MS. Kelly Cicotte, PA-C is a Physician Assistant in El Segundo, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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

483 N Aviation Blvd
El Segundo, CA 90245-2808
Phone: (310) 653-2873
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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 1194751

Record details

NPI number1891382719
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 26, 2020
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

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