National Provider Identifier
Maureen C Kelly, PA
Maureen C Kelly, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Lockport, NY and a listed phone number of (716) 342-3026.
Profile Overview
- NPI
- 1881664902
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- January 23, 2006
- Last Updated
- January 30, 2026
Practice Location
- 6001 Shimer Dr
- Lockport, NY 14094-6412
Phone: (716) 342-3026
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1881664902
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Maureen
- Middle Name
- C
- Name Prefix
- MS.
- Credential
- PA
- Mailing Street Address
- 6001 Shimer Dr
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-6412
- Mailing Country
- US
- Mailing Phone
- (716) 342-3026
- Mailing Fax
- (716) 342-3027
- Practice Street Address
- 6001 Shimer Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-6412
- Practice Country
- US
- Practice Phone
- (716) 342-3026
- Practice Fax
- (716) 342-3027
- Enumeration Date
- January 23, 2006
- Last Updated
- January 30, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 30, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
- Other Identifiers
- 08307375 (NY), 004245272 (CT), 290001363CT02 (CT, Anthem BCBS)