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

Shannon Kelly, PA-C

Individual provider Physician Assistant · NPI 1508306309

Shannon Kelly, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

159 E 74th St Second Fl
New York, NY 10021-3235
Phone: (516) 732-1675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0205481 (NY)

Record details

NPI number1508306309
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2017
Last updated in NPPESFebruary 28, 2017

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