Individual provider · Type 1 NPI
Susan Kelly, PA
Medical Physician Assistant · Santa Cruz, CA
NPI number
1952260077
Active
Practice location
PO Box 1098
Santa Cruz, CA 95061-1098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10521 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1952260077
Susan Kelly, PA's National Provider Identifier is 1952260077, issued on Jan 16, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 16, 2026.