Healthcare Provider Details

I. General information

NPI: 1700794930
Provider Name (Legal Business Name): KYLEE NICOLE MCELHINEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S GODDARD BLVD
KING OF PRUSSIA PA
19406-2922
US

IV. Provider business mailing address

106 PENNSYLVANIA AVE
WEST CHESTER PA
19380-3828
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-1000
  • Fax:
Mailing address:
  • Phone: 610-331-6991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: