Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANN BEVILAQUA-TRACY, PA
ActiveKELLY ANN BEVILAQUA-TRACY, PA is a Physician Assistant healthcare provider located in SCRANTON, Pennsylvania. NPI 1114179637 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SCRANTON, PA
Registration Details
- NPI Number
- 1114179637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2008 (17.81877624458 yrs)
- Last Updated
- Dec 30, 2020
- License
-
MA053585 (PA)
Practice Information
- Address
-
1800 MULBERRY STSCRANTON, PA, 185102369Browse PA providers · Browse ZIP 18510
- Phone
- 5707034830
- Fax
- 5707034835
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SCRANTON, PA
| Name | Credential | NPI |
|---|---|---|
| BARBARA A LOZADA | P.A.-C | 1750384269 |
| BARBARA STEIN | PA-C | 1437156536 |
| GINA KULOSZEWSKI | PA-C | 1790782894 |
| ROBERT GERALD DOUGHER JR. | PA-C | 1447258678 |
| MRS. MEGAN ANN BAZEWICZ | PA-C | 1053381038 |
| CHRISTOPHER J COSTA | PA | 1568439123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.