Individual provider · Type 1 NPI
Kevin F. Kelley Sr., PA-C
Medical Physician Assistant · Indian Head, MD
NPI number
1881654697
Active
Practice location
101 Strauss Ave, Cbirf, 2nd Mef
Indian Head, MD 20640-1542
Fax (301) 744-1028
Mailing address
111 Strauss Ave
Indian Head, MD 20640-1524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110840675 (VA) |
Medical Physician Assistant: Definition to come...
About NPI 1881654697
Kevin F. Kelley Sr., PA-C's National Provider Identifier is 1881654697, issued on Mar 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indian Head, MD. The record was last updated on Jul 13, 2026.