KELLY CARROLL
Physician Assistant
Active
Individual
NPI: 1295693216
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1295693216 is the National Provider Identifier for KELLY CARROLL, a Physician Assistant provider located in South Orange, NJ. This NPI was enumerated on January 10, 2026.
KELLY CARROLL practices at 400 S ORANGE AVE, South Orange, NJ 07079.
Quick Facts
- NPI
- 1295693216
- Type
- Individual
- Enumerated
- Jan 10, 2026
- Last Updated
- Jan 10, 2026
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