Individual provider · Type 1 NPI

Kelly Jean Way, BS, MS, PA-C

Medical Physician Assistant · Norwich, CT

NPI number 1124274378 Active

Practice location

326 Washington St
Norwich, CT 06360-2740

Mailing address

34B Springbrook Rd
Westerly, RI 02891-1001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002126 (CT)
Medical Physician Assistant 363AM0700XPA00473 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1124274378

Kelly Jean Way, BS, MS, PA-C's National Provider Identifier is 1124274378, issued on Aug 7, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norwich, CT. The record was last updated on Oct 30, 2014.