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

Individual provider Physician Assistant · NPI 1275225591

MS. Kelly Gloria Wynn, PA-C is a Physician Assistant in Seattle, Washington. Qualified in 2023, 3 years ago. Practices with The Association of University Physicians, a 3,459-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
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

825 Eastlake Ave E
Seattle, WA 98109-4405
Phone: (206) 520-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1334 Terry Ave, Seattle, WA 98101-2747 — (904) 710-3016

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61460042 (WA)

Record details

NPI number1275225591
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Association Of University Physicians — 3459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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