Individual provider · Type 1 NPI
Kelly Evans, R.P.A.-C
Surgical Physician Assistant · Rome, NY
NPI number
1356369722
Active
Practice location
1500 N James St
Rome, NY 13440-2844
Fax (315) 339-1975
Mailing address
245 Avery Ln
Rome, NY 13441-4237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 010947-1 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1356369722
Kelly Evans, R.P.A.-C's National Provider Identifier is 1356369722, issued on Jul 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rome, NY. The record was last updated on Sep 25, 2025.