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

MS. KELLY ANN GROOM, M.S. PA-C

Active

MS. KELLY ANN GROOM, M.S. PA-C is a Medical Physician Assistant healthcare provider located in BRONX, New York. NPI 1740302421 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BRONX, NY

Registration Details

NPI Number
1740302421
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2007 (19.330492799053 yrs)
Last Updated
Jul 8, 2007
License
009403 (NY)

Practice Information

Address
1803 MAHAN AVE
BRONX, NY, 104614621
Browse NY providers · Browse ZIP 10461
Phone
7184092762
Fax
7188634432
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BRONX, NY

Name Credential NPI
LESLIE D BECKFORD PA 1205828118
MRS. CINDY C. KREISBERG RPAC 1790768232
KEVIN PRITCHETT PA 1851370662
MR. SEAN DENNIS BYRNE P.A. 1821064155
MRS. PATRICIA HALTON P.A. 1134196553
MR. LEHEL FRANK DEAK RPA-C 1982663779
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.