Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY THEO ROULEAU, P.A.
Active Sole ProprietorMRS. KELLY THEO ROULEAU, P.A. is a Physician Assistant healthcare provider located in PORTSMOUTH, New Hampshire. NPI 1750510533 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORTSMOUTH, NH
Registration Details
- NPI Number
- 1750510533
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2009 (17.077647170834 yrs)
- Last Updated
- Mar 4, 2021
- Licenses
-
PA1660 (ME)0734 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
155 BORTHWICK AVE STE 201PORTSMOUTH, NH, 03801Browse NH providers · Browse ZIP 03801
- Phone
- 9786915690
- Fax
- 6034104679
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PORTSMOUTH, NH
| Name | Credential | NPI |
|---|---|---|
| MICHELE A GUILFOYLE | PA-C | 1336133388 |
| MRS. DOROTHY B. MCGRATH | PA-C | 1780641332 |
| MALCOLM HAUTHAWAY | PAC | 1396792156 |
| MS. JUDITH SANTANGELO | PA-C | 1699712513 |
| MICHAEL A WASSELL | PA-C | 1407893506 |
| MS. MARCY STARLING | PA | 1417994393 |
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.