Kelly C Seymour, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053688 Issued in PA

Practice address

1010 Horsham Rd Ste 210
North Wales, PA 19454-1500

Phone

(215) 853-3434

Fax

(215) 672-6566

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1376841825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HORSHAM RD STE 210",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541500",
            "telephone_number": "215-853-3434",
            "fax_number": "215-672-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HORSHAM RD STE 210",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541500",
            "telephone_number": "215-853-3434",
            "fax_number": "215-672-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34th Street and Civic Center Boulevard",
            "address_2": "The Children's Hospital of Philadelphia",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-590-2708",
            "fax_number": "215-590-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "KELLY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00223300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg M Schwartz, DC
• Schwarz Dermatology PLLC
• Emily J Schwarz, M.D., PH.D.
• Samuel Lawrence Semel, RPH
• Lakshman P Setty, B.D.S
• Shin Family Chiropractic & Rehabilitation, P.C.
• Seungmook Shin, DC
• Pallavi Shinde, MS
• Marielle Elizabeth Silberman, LCSW
• Laurie Simmonds, OD

• Physician Assistant in North Wales, PA
• Providers in North Wales, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.