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KELLY KENNEDY PA-C
NPI 1346813573
Physician Assistant in Mesa, AZ

Active since July 24, 2021
2152 S VINEYARD STE 135, MESA, AZ 85210(480) 539-1855 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Oct 1, 2021, Jul 24, 2021 (3 updates tracked since 2021).

About Kelly Kennedy Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KENNEDY PA-C (NPI 1346813573) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (8557) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1346813573
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY KENNEDYCredential: PA-C
Location Address2152 S VINEYARD STE 135Mesa, AZ 85210-6882
Mailing Address2152 S Vineyard Ste 135Mesa, AZ 85210-6882
Phone(480) 539-1855
Sole ProprietorYes
Enumeration DateJuly 24, 2021
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1346813573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 8557
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2152 S VINEYARD STE 135, Mesa, AZ 85210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Kennedy's NPI number?

The NPI number for Kelly Kennedy is 1346813573. It was assigned to this individual provider in the NPPES registry on July 24, 2021.

Where is Kelly Kennedy located?

Kelly Kennedy practices at 2152 S Vineyard Ste 135, Mesa, AZ 85210. The listed phone number is (480) 539-1855.

What is Kelly Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Kennedy was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.