Individual provider · Type 1 NPI

Colleen R. Kelly, P.A.

Surgical Physician Assistant · Leawood, KS

NPI number 1245268754 Active

Practice location

3651 College Blvd
Leawood, KS 66211-1910

Call (913) 319-7633 Map

Fax (913) 253-1764

Mailing address

12639 Old Tesson Rd, Suite 100
St. Louis, MO 63128-2786

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400X119557 (MO)
Surgical Physician Assistant Primary 363AS0400X1500630 (KS)

Surgical Physician Assistant: Definition to come...

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About NPI 1245268754

Colleen R. Kelly, P.A.'s National Provider Identifier is 1245268754, issued on Jun 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Leawood, KS. The record was last updated on May 17, 2019.