KEVA FOTHERGILL, PA

Physician Assistant

Active Individual
NPI: 1285793935

Practice Address

26 LAFAYETTE ST
Norwich, CT 06360

Phone: (860) 889-7321

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 000909 (CT)

Frequently Asked Questions

NPI 1285793935 is the National Provider Identifier for KEVA FOTHERGILL, PA, a Physician Assistant provider located in Norwich, CT. This NPI was enumerated on December 8, 2006.
KEVA FOTHERGILL, PA practices at 26 LAFAYETTE ST, Norwich, CT 06360.

Quick Facts

NPI
1285793935
Type
Individual
Enumerated
Dec 8, 2006
Last Updated
Sep 4, 2013

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