Individual provider · Type 1 NPI

Jonathan Kelvas, PA-C

Surgical Physician Assistant · Stony Brook, NY

NPI number 1942674759 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X019220 (NY)
Surgical Physician Assistant Primary 363AS0400X019220 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1942674759

Jonathan Kelvas, PA-C's National Provider Identifier is 1942674759, issued on Nov 17, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 1, 2023.