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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY ANN BEVILAQUA-TRACY, PA

Active

KELLY 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 ST
SCRANTON, PA, 185102369
Browse 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.