IndividualActive
Audrey Kelley, PA-C
NPI 1770977571 · Medical Physician Assistant · Anchorage, AK
Provider details
- NPI number
- 1770977571
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 113710 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4119 Laurel St
Anchorage, AK 99508-5334
Phone: (877) 708-9752
Fax: (907) 802-6248
Approximate (ZIP-level) locationGet directions
Mailing address
4119 Laurel St
Anchorage, AK 99508-5334
Registry dates
- Enumerated
- 2015-03-19
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.