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Contact Information

CAITLIN M KELLY, PA-C
1755 WITTINGTON PL
SUITE 800
DALLAS, TX75234-1927
 Phone: 214-442-4429
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CAITLIN M KELLY · (Female)

NPI Number 1114253309
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/23/2009
Last updated 02/26/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 085003558
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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