Individual provider · Type 1 NPI

Maureen C. Kelly, PA

Medical Physician Assistant · Buffalo, NY

NPI number 1881664902 Active

Practice location

Elm And Carlton St
Buffalo, NY 14263-0001

Other practice locations

  • 6001 Shimer Dr, Lockport, NY 14094-6412 · (716) 342-3026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X001363 (CT)
Medical Physician Assistant Primary 363AM0700X010552 (NY)
Medical Physician Assistant 363AM0700X1363 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1881664902

Maureen C. Kelly, PA's National Provider Identifier is 1881664902, issued on Jan 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Buffalo, NY. The record was last updated on Sep 29, 2026.