Kelly Carroll

NPI #1295693216 in South Orange, New Jersey

Provider Information

NPI Number: 1295693216
Entity Type: Individual
Name: Kelly Carroll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 10, 2026
Last Updated: Jan 10, 2026

Practice Location

Address: 400 S ORANGE AVE
City: South Orange
State: New Jersey
ZIP Code: 07079-2646
Phone: (973) 761-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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