Individual provider · Type 1 NPI

Stephanie Lynn Kelly, PA-C

Physician Assistant · Riverhead, NY

NPI number 1578999322 Active

Practice location

1300 Roanoke Ave
Riverhead, NY 11901-2031

Call (631) 549-6000 Map

Mailing address

51 Nathan Dr
Bohemia, NY 11716-1317

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X23017034 (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 1578999322

Stephanie Lynn Kelly, PA-C's National Provider Identifier is 1578999322, issued on Sep 24, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Riverhead, NY. The record was last updated on Jun 9, 2020.