Provider Profile
Shannon Kelly, PA-C is a physician assistant practicing in New York, NY. This provider record is associated with NPI 1508306309.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
159 E 74TH ST SECOND FLOOR
New York, NY 10021
Shannon Kelly is a physician assistant in New York, NY. That is the designation recorded for this NPI in the federal registry.
NPI registry
Shannon Kelly is listed at 159 E 74Th St Second Floor, New York, NY 10021. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (516) 732-1675. Contact the office directly to confirm availability and scheduling.
NPI registry
Shannon Kelly's National Provider Identifier is 1508306309. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Shannon Kelly has 9+ years experience. Registered with an NPI since 2017. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Shannon Kelly. If this is you, claiming it is free.
Guide.md
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