Active NPIIndividual provider

Ms. Kaitlin Connelly, PA-C

Physician Assistant, Medical in Vineland, New Jersey

NPI Number1952646747
Practice location
352 S Delsea Dr Unit C, Vineland, NJ 08360-5308
Fax
856-896-6107
Last updated
October 26, 2023

Kaitlin Connelly is a Physician Assistant, Medical based in Vineland, NJ. Kaitlin Connelly practices in Vineland, NJ and has the professional credentials of PA-C. The NPI Number for Kaitlin Connelly is 1952646747 and holds a License No. 25MP00298300 (NJ). The current practice location address for Kaitlin Connelly is 352 S Delsea Dr Unit C, Vineland, NJ 08360-5308 and can be reached out via phone at 856-690-1616 and via fax at 856-896-6107.

Provider Profile Details

NPI Number
1952646747
Provider Name
Kaitlin Connelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
352 S Delsea Dr Unit C, Vineland, NJ 08360-5308
Phone Number
856-690-1616
Fax Number
856-896-6107
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2012
Last Update Date
October 26, 2023
Certification Date
October 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
Zip
08360-5308
Phone Number
856-690-1616
Fax Number
856-896-6107
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
City
Vineland
State
NJ
Zip
08360-5308
Phone Number
856-690-1616
Fax Number
856-896-6107

License Information

License Number
25MP00298300
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Ms. Kaitlin Connelly, PA-C?

The NPI number of Ms. Kaitlin Connelly, PA-C is 1952646747. It was assigned on December 5, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Kaitlin Connelly, PA-C?

Ms. Kaitlin Connelly, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00298300.

Where does Ms. Kaitlin Connelly, PA-C practice?

The practice location is 352 S Delsea Dr Unit C, Vineland, NJ 08360-5308. The office can be reached at 856-690-1616 (phone) or 856-896-6107 (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 1952646747 directly on the NPPES registry website.

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