Kelly Roth, PA-C
NPI #1760939680 in North Franklin, Connecticut
Provider Information
- NPI Number
- 1760939680
- Entity Type
- Individual
- Name
- Kelly Roth, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Sep 8, 2016
- Last Updated
- Sep 8, 2016
Practice Location
- Address
- 82 NEW PARK AVE
- City
- North Franklin
- State
- Connecticut
- ZIP Code
- 06254-1807
- Phone
- (860) 889-7345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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