NPI 1073058582

Sean Kelly

Practitioner Physician Assistant Apo, AE

Practice location

Address: Psc 405 Box 3017, Apo, AE 09034-0031
Phone: (314) 531-5171
Mailing address: Cmr 411 Box 2507, Apo, AE 09112-0026

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1073058582
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2016
Record last updated: 30 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.