KELLY SENOUR PA-C
NPI 1508686205
Physician Assistant - Surgical in Philadelphia, PA
About Kelly Senour Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SENOUR PA-C (NPI 1508686205) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA066023) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Senour Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Senour's NPI number?
The NPI number for Kelly Senour is 1508686205. It was assigned to this individual provider in the NPPES registry on October 16, 2024.
Where is Kelly Senour located?
Kelly Senour practices at 3400 Spruce Street 3 Silverstein Bldg, Philadelphia, PA 19104. The listed phone number is (215) 662-3487.
What is Kelly Senour's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kelly Senour enrolled in Medicare?
Yes. Kelly Senour is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Senour was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kelly Senour, PA-C · NPI 1508686205
Surgical physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 16, 2024.
## Identity
- **NPI:** 1508686205 (Entity type: Individual)
- **Enumerated:** October 16, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** MA066023 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-3487
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508686205) · Data from the CMS NPPES public registry.