Individual provider · Type 1 NPI
Gina Kelley, PA-C
Medical Physician Assistant · Wallingford, CT
NPI number
1043078041
Active
Practice location
850 N Main Street Ext # 2
Wallingford, CT 06492-2400
Mailing address
65 Quarry Village Rd
Cheshire, CT 06410-2062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 6510 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1043078041
Gina Kelley, PA-C's National Provider Identifier is 1043078041, issued on Mar 13, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wallingford, CT. The record was last updated on Mar 13, 2024.