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

Tamsyn Kellough

Individual provider Medical Physician Assistant · NPI 1770143026

Tamsyn Kellough is a Physician Assistant in Wailuku, Hawaii. Qualified in 2019, 7 years ago. Practices with Maui Medical Group Inc, a 69-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2180 Main St
Wailuku, HI 96793-1625
Phone: (808) 249-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Acacia Ave, San Rafael, CA 94901-2298 — (415) 257-2823

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1770143026
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2019
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020
Mailing address270 Palama Dr, Kahului, HI 96732-1450

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Maui Medical Group Inc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wailuku