TABITHA KELLY

MILTON, DE
NPI1134630528
Former NameTABITHA ROACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: DE  C5-0012230)
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2017-10-12
Last Update Date2025-10-16
Business Address
TABITHA KELLY PA
23900 MILTON ELLENDALE HWY
MILTON, DE 19968-2714
Phone number: 302-684-5635
Mailing Address
TABITHA KELLY PA
1515 SAVANNAH RD FL 2
LEWES, DE 19958-1675
Phone number: 302-645-3499
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