KEVA C FOTHERGILL

NORWICH, CT
NPI1285793935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  000909)
Enumeration Date2006-12-08
Last Update Date2013-09-04
Business Address
-- KEVA C FOTHERGILL PA
26 LAFAYETTE ST
NORWICH, CT 06360-3408
Phone number: 860-889-7321
Mailing Address
-- KEVA C FOTHERGILL PA
196 PARKWAY S SUITE 304
WATERFORD, CT 06385-1234
Phone number: 860-442-7027
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