ANDREW NICHOLAS KELLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010618

License Status

ACTIVE

Business

First Name

ANDREW

Middle

NICHOLAS

Last Name

KELLY

Business Name

ANDREW NICHOLAS KELLY

Original Issue Date

08/22/2024

Effective Date

08/22/2024

Expiration Date

03/01/2026

City

NEW YORK

State

Zip

10036

Ever Disciplined

LastModifiedDate

12/03/2025