Individual
KELLY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A.-C
Contact information
Practice address
1500 N JAMES ST, ROME, NY 13440-2844
(315) 338-7184
(315) 339-1975
Mailing address
245 AVERY LN, ROME, NY 13441-4237
(315) 337-1200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010947-1
NY
Other
Enumeration date
07/17/2006
Last updated
09/25/2025
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