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1043078041
GINA KELLEY
WALLINGFORD, CT
NPI
1043078041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 6510)
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
Ms. GINA KELLEY PA-C
850 N MAIN STREET EXT # 2
WALLINGFORD, CT 06492-2400
Phone number: 203-886-0036
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Mailing Address
Ms. GINA KELLEY PA-C
65 QUARRY VILLAGE RD
CHESHIRE, CT 06410-2062
Phone number: 413-454-8706
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