Individual provider · Type 1 NPI
Jennifer Keth, PA-C
Medical Physician Assistant · New Haven, CT
NPI number
1407682040
Active
Practice location
20 York St
New Haven, CT 06510-3202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 6973 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1407682040
Jennifer Keth, PA-C's National Provider Identifier is 1407682040, issued on Sep 10, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Feb 11, 2025.