Active NPIIndividual provider

Kelly Roth, PA-C

Physician Assistant, Surgical in North Franklin, Connecticut

NPI Number1760939680
Practice location
82 New Park Ave, North Franklin, CT 06254-1807
Fax
—
Last updated
September 8, 2016

Kelly Roth is a Physician Assistant, Surgical based in North Franklin, CT. Kelly Roth practices in North Franklin, CT and has the professional credentials of PA-C. The NPI Number for Kelly Roth is 1760939680. The current practice location address for Kelly Roth is 82 New Park Ave, North Franklin, CT 06254-1807 and can be reached out via phone at 860-889-7345.

Provider Profile Details

NPI Number
1760939680
Provider Name
Kelly Roth
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
82 New Park Ave, North Franklin, CT 06254-1807
Phone Number
860-889-7345
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2016
Last Update Date
September 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 New Park Ave
North Franklin, CT 06254-1807
Zip
06254-1807
Phone Number
860-889-7345
North Franklin, CT 06254Get directions →

Provider Business Mailing Address Details

Address
82 New Park Ave
North Franklin, CT 06254-1807
City
North Franklin
State
CT
Zip
06254-1807

License Information

Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kelly Roth, PA-C?

The NPI number of Kelly Roth, PA-C is 1760939680. It was assigned on September 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelly Roth, PA-C?

Kelly Roth, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).

Where does Kelly Roth, PA-C practice?

The practice location is 82 New Park Ave, North Franklin, CT 06254-1807. The office can be reached at 860-889-7345 (phone).

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 1760939680 directly on the NPPES registry website.

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