Individual provider · Type 1 NPI

Kelly McKoin, PA-C

Physician Assistant · San Rafael, CA

NPI number 1316392277 Active

Practice location

800 A St
San Rafael, CA 94901-3011

Call (415) 457-8182 Map

Fax (415) 457-7471

Mailing address

PO Box 3517
San Rafael, CA 94912-3517

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X53228 (CA)

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 1316392277

Kelly McKoin, PA-C's National Provider Identifier is 1316392277, issued on Apr 28, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 9, 2026.