Individual provider · Type 1 NPI

Makena Loryn Kelly, PA-C

Physician Assistant · Nampa, ID

NPI number 1093306169 Active

Practice location

9951 W St Lukes Dr
Nampa, ID 83687-7914

Call (208) 467-6700 Map

Fax (208) 463-6044

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 13424 E Mission Ave, Spokane Valley, WA 99216-2759 · (509) 462-2275

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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, orde…

12 other providers at this address

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About NPI 1093306169

Makena Loryn Kelly, PA-C's National Provider Identifier is 1093306169, issued on Feb 1, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nampa, ID. The record was last updated on Jul 14, 2026.