Individual
TABITHA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23900 MILTON ELLENDALE HWY, MILTON, DE 19968-2714
(302) 684-5635
(866) 546-6159
Mailing address
1515 SAVANNAH RD FL 2, LEWES, DE 19958-1675
(302) 645-3499
(302) 644-4830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012230
DE
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
10/12/2017
Last updated
10/16/2025
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