Individual provider · Type 1 NPI

Kelly Roth, PA-C

Surgical Physician Assistant · North Franklin, CT

NPI number 1760939680 Active

Practice location

82 New Park Ave
North Franklin, CT 06254-1807

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1760939680

Kelly Roth, PA-C's National Provider Identifier is 1760939680, issued on Sep 8, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in North Franklin, CT. The record was last updated on Sep 8, 2016.