Mrs. Kelly T Rouleau, PA
Physician Assistant in Portsmouth, New Hampshire
1750510533- Practice location
- 155 Borthwick Ave Ste 201, Portsmouth, NH 03801
- Phone
- 978-691-5690
- Fax
- 603-410-4679
- Last updated
- March 4, 2021
Kelly Theo Rouleau is a Physician Assistant based in Portsmouth, NH. Kelly Theo Rouleau practices in Portsmouth, NH and has the professional credentials of PA. The NPI Number for Kelly Theo Rouleau is 1750510533 and holds a License No. PA1660 (ME). The current practice location address for Kelly Theo Rouleau is 155 Borthwick Ave Ste 201, Portsmouth, NH 03801 and can be reached out via phone at 978-691-5690 and via fax at 603-410-4679.
Provider Profile Details
- NPI Number
- 1750510533
- Provider Name
- Kelly Theo Rouleau
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 155 Borthwick Ave Ste 201, Portsmouth, NH 03801
- Phone Number
- 978-691-5690
- Fax Number
- 603-410-4679
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 14, 2009
- Last Update Date
- March 4, 2021
- Certification Date
- March 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 155 Borthwick Ave Ste 201
Portsmouth, NH 03801 - City
- Portsmouth
- State
- New Hampshire
- Zip
- 03801
- Phone Number
- 978-691-5690
- Fax Number
- 603-410-4679
Provider Business Mailing Address Details
- Address
- 155 Borthwick Ave Ste 201
Portsmouth, NH 03801-7156 - City
- Portsmouth
- State
- NH
- Zip
- 03801-7156
- Phone Number
- 978-691-5690
- Fax Number
- 603-410-4679
License Information
- License Number (1)
- PA1660
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 0734
- License State (2)
- NH
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Kelly T Rouleau, PA?
The NPI number of Mrs. Kelly T Rouleau, PA is 1750510533. It was assigned on July 14, 2009 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelly T Rouleau, PA?
Mrs. Kelly T Rouleau, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1660.
Where does Mrs. Kelly T Rouleau, PA practice?
The practice location is 155 Borthwick Ave Ste 201, Portsmouth, NH 03801. The office can be reached at 978-691-5690 (phone) or 603-410-4679 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750510533 directly on the NPPES registry website.