Carroll, Kelly
Carroll, Kelly is an individual health care provider with primary practice located at 400 S Orange Ave , South Orange NJ 07079-2646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carroll, Kelly can be contacted via phone (973) 761-9000.Contact Information
Primary practice address
400 S Orange Ave
South Orange NJ 07079-2646
Phone: (973) 761-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | New Jersey |
Profile Details
| NPI number | 1295693216 |
|---|---|
| LBN Legal business name | Carroll, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2026 |
| Last updated | Jan 10th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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