Individual provider · Type 1 NPI

Keva C. Fothergill, PA

Physician Assistant · Norwich, CT

NPI number 1285793935 Active

Practice location

26 Lafayette St
Norwich, CT 06360-3408

Call (860) 889-7321 Map

Fax (860) 444-7401

Mailing address

196 Parkway S, Suite 304
Waterford, CT 06385-1234

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X000909 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285793935

Keva C. Fothergill, PA's National Provider Identifier is 1285793935, issued on Dec 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Norwich, CT. The record was last updated on Sep 4, 2013.