KELLY L MEAD PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1275607855- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 113 ELM ST STE 304, ENFIELD, CT, 06082
- Phone
- (860) 741-2225
- Fax
- (860) 741-2229
Specialties & Taxonomies
Dermatology
License: CT #00332
Physician Assistant, Medical
Primary License: CT #00332