Individual provider · Type 1 NPI

Kelly Dallas, PA-C

Physician Assistant · Medford, NJ

NPI number 1497091193 Active

Practice location

131 Route 70 Ste 100A
Medford, NJ 08055-9501

Call (609) 267-9400 Map

Fax (609) 451-5518

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Other practice locations

  • 243 US Highway 130 Ste 100, Bordentown, NJ 08505-2137 · (609) 267-9400
  • 300 W Route 38 Ste A, Moorestown, NJ 08057-3424 · (609) 267-9400
  • 325 Route 70 E, Cherry Hill, NJ 08034-2408 · (609) 267-9400
  • 2103 Mount Holly Rd, Burlington, NJ 08016-4157 · (609) 747-9200
  • 200 Bowman Dr Ste E100, Voorhees, NJ 08043-9648 · (609) 267-9400
  • 994 W Sherman Ave, Vineland, NJ 08360-6937 · (609) 267-9400
  • 570 Egg Harbor Rd Ste C4-A, Sewell, NJ 08080-2359 · (609) 267-9400

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00300900 (NJ)

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 1497091193

Kelly Dallas, PA-C's National Provider Identifier is 1497091193, issued on Dec 27, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Medford, NJ. The record was last updated on Feb 26, 2026.