Kaly R Macconnell, PA-C
Physician Assistant, Medical in Lansdale, PA. Individual provider (NPI-1).
NPI number1295045474
StatusActive
Last updated in NPPESNov 26, 2025
Details
- NPI
- 1295045474
- Entity type
- Individual (NPI-1)
- Name
- Kaly R Macconnell
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2010
- Certification date
- Nov 26, 2025
- Last updated
- Nov 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA054607 | PA | Yes |
| 363A00000X | Physician Assistant | OA002538 | PA |
Other names
- Kaly R Lutz (Former Name)
Practice location
1709 N Broad StLansdale, PA 19446-1115
Phone 215-362-5555 · Fax 215-362-6353
Mailing address
1709 N Broad StLansdale, PA 19446-1115
Phone 215-362-5555 · Fax 215-362-6353
Other practice locations
385 Oxford Valley Rd Ste 420
Yardley, PA 19067-7723
Yardley, PA 19067-7723
Phone 215-321-3500
130 S Bryn Mawr Ave Ste H321
Bryn Mawr, PA 19010
Bryn Mawr, PA 19010
Phone 484-337-4097 · Fax 484-337-4082
1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373
Allentown, PA 18103-6373
Phone 610-437-4134 · Fax 610-433-9690
5458 Ridge Ave
Philadelphia, PA 19128-3732
Philadelphia, PA 19128-3732
Phone 215-487-1887 · Fax 215-487-1818
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