Individual provider · Type 1 NPI
Kim Ellen Roycroft, PA
Medical Physician Assistant · Browns Mills, NJ
NPI number
1093099491
Active
Practice location
200 Trenton Rd
Browns Mills, NJ 08015-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | C5-0011654 (DE) |
| Medical Physician Assistant Primary | 363AM0700X | 25MP00256100 (NJ) |
Medical Physician Assistant: Definition to come...
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About NPI 1093099491
Kim Ellen Roycroft, PA's National Provider Identifier is 1093099491, issued on Oct 4, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Browns Mills, NJ. The record was last updated on Dec 21, 2021.