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

MS. Kelly L Supan, PA-C

Individual provider Physician Assistant · NPI 1215215603

MS. Kelly L Supan, PA-C is a Physician Assistant in Harrisburg, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Pennsylvania Urgent Care Centers, PLLC, a 108-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2011
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

111 S Frnt ST
Harrisburg, PA 17101-2010
Phone: (717) 988-0000
Fax: (717) 782-5716
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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 MA055024 (PA)

Record details

NPI number1215215603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2011
Last updated in NPPESDecember 19, 2020
Certification dateDecember 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Pennsylvania Urgent Care Centers, Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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