# KELSEY CHARLOTTE O'MARA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376871426
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10001499A | IN | — |
| 363A00000X | Physician Assistant | PA1333 | KY | Yes |

## Other

- **Enumeration date:** 12/01/2009
- **Last updated:** 09/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001202435 | ANTHEM PIN | — |
| 05 | — | 0314133 | — | OH |
| 01 | — | 12060975 | CAQH PROVIDER ID | — |
| 01 | — | 1700235 | WELLCARE OF KY PROVIDER ID NUMBER | KY |
| 05 | — | 300018062 | — | IN |
| 05 | — | 7100155270 | — | KY |
| 01 | — | 98745KYIP | AETNA BETTER HEALTH | — |
| 01 | — | CS1828800128 | CARESOURCE ID | — |