Individual provider · Type 1 NPI

Kelly Fagan, PA

Physician Assistant · Brooklyn, NY

NPI number 1285192393 Active

Practice location

506 6th St
Brooklyn, NY 11215-3609

Mailing address

141 Saint Marks Pl Apt 2
Brooklyn, NY 11217-2014

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X023393 (NY)

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…

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About NPI 1285192393

Kelly Fagan, PA's National Provider Identifier is 1285192393, issued on Mar 7, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 13, 2023.