Kelly Sean McCarthy, PA-C
Physician Assistant in Olympia, WA. Individual provider (NPI-1).
NPI number1477422012
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1477422012
- Entity type
- Individual (NPI-1)
- Name
- Kelly Sean McCarthy
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2025
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | WA | Yes |
Practice location
6700 Martin Way E Ste 117Olympia, WA 98516-5586
Phone 360-413-6910
Mailing address
9067 Wyatt Ct SeTumwater, WA 98501-6235
Is something wrong?
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All 109 Physician Assistant providers in Olympia · All 6,015 providers in Olympia
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