Individual provider · Type 1 NPI

Kaly R. Macconnell, PA-C

Medical Physician Assistant · Lansdale, PA

NPI number 1295045474 Active

Practice location

1709 N Broad St
Lansdale, PA 19446-1115

Call (215) 362-5555 Map

Fax (215) 362-6353

Other practice locations

130 S Bryn Mawr Ave Ste H321, Bryn Mawr, PA 19010 · (484) 337-4097
1259 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6373 · (610) 437-4134
5458 Ridge Ave, Philadelphia, PA 19128-3732 · (215) 487-1887
385 Oxford Valley Rd Ste 420, Yardley, PA 19067-7723 · (215) 321-3500

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	OA002538 (PA)
Medical Physician Assistant Primary	363AM0700X	MA054607 (PA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

Other medical physician assistant providers in Lansdale

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About NPI 1295045474

Kaly R. Macconnell, PA-C's National Provider Identifier is 1295045474, issued on Oct 20, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lansdale, PA. The record was last updated on Nov 26, 2025.