Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra Taylor Kellett, PA-C

Individual provider Physician Assistant · NPI 1396860169

Sandra Taylor Kellett, PA-C is a Physician Assistant in Flagstaff, Arizona. Qualified in 2002, 24 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Florida.

Years since qualifying
24
Licensed in
AZ, FL
In the registry since
2007
Specialties on file
2
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

1215 N Beaver St
Flagstaff, AZ 86001-3120
Phone: (928) 773-2200
Fax: (928) 773-2300
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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 6587 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA9102170 (FL)

Record details

NPI number1396860169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Flagstaff