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KEVIN MICHAEL KELLEY PA-C
NPI 1750391108
Physician Assistant in Peabody, MA

Active since August 08, 2006
27A CENTENNIAL DR, PEABODY, MA 01960(978) 532-2428 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Michael Kelley Pa-c NPPES

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

KEVIN MICHAEL KELLEY PA-C (NPI 1750391108) is an individual physician assistant in Peabody, Massachusetts, licensed in Massachusetts (232) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1750391108
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN MICHAEL KELLEYCredential: PA-C
Location Address27A CENTENNIAL DRPeabody, MA 01960-7901
Mailing Address57 Argilla RdIpswich, MA 01938-2603 · (978) 766-5696
Phone(978) 532-2428
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750391108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · 232✔ Licensed in NE · 1203
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.
27A CENTENNIAL DR, Peabody, MA 01960
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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 Kevin Kelley's NPI number?

The NPI number for Kevin Kelley is 1750391108. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Kevin Kelley located?

Kevin Kelley practices at 27A Centennial Dr, Peabody, MA 01960. The listed phone number is (978) 532-2428.

What is Kevin Kelley'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 Kevin Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.