Individual
MRS. KELLY JEAN WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS, PA-C
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
34B SPRINGBROOK RD, WESTERLY, RI 02891-1001
(401) 348-8565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002126
CT
363AM0700X
Medical Physician Assistant
PA00473
RI
Other
Enumeration date
08/07/2008
Last updated
10/30/2014
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