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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATELYN MCKILLOP, PHYSICIAN ASSISTANT

Active Sole Proprietor

KATELYN MCKILLOP, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1932718061 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NEW YORK, NY

Registration Details

NPI Number
1932718061
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2020 (6.0736469454838 yrs)
Last Updated
Feb 5, 2026
Licenses
MA061676 (PA)
MA061676 (PA)
034634 (NY)
0A005296 (PA)
Sole Proprietor
Yes

Practice Information

Address
622 W 168TH ST STE VC-260
NEW YORK, NY, 100323720
Browse NY providers · Browse ZIP 10032
Phone
2123055067
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in NEW YORK, NY

Name Credential NPI
DONNA SILVERNAIL PA 1134126162
JONATHAN FISHER PA 1043218282
ROCCO MICHAEL RACANELLI PA 1073509550
MS. THERESA LEE RAYMOND PA-C 1518954635
MRS. YOLANDE THOMAS-ELLIS PA-C 1932197373
DENISE L WINICK PAC 1255320073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.