NPI 1245268754

Colleen R Kelly, PA

Practitioner Surgical Physician Assistant Leawood, KS

Practice location

Address: 3651 College Blvd, Leawood, KS 66211-1910
Phone: (913) 319-7633
Fax: (913) 253-1764
Mailing address: 12639 Old Tesson Rd Suite 100, Saint Louis, MO 63128-2786

Registered specialties (3)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 1500630 (KS)

Other Physician Assistant providers in Kansas →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 119557 (MO)

Registry record

NPI: 1245268754
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2006
Record last updated: 17 May 2019

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.