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

Sean Kelly, PA-C

Individual provider Physician Assistant · NPI 1285170738

Sean Kelly, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2016, 10 years ago. Practices with Covenant Medical Center, Inc, a 489-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2017
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

1105 6th St
Traverse City, MI 49684-2349
Phone: (231) 947-0673
Fax: (801) 740-2847
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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 5601008056 (MI)

Record details

NPI number1285170738
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2017
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Covenant Medical Center, Inc. — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Traverse City