KELLY BEVILAQUA-TRACY, PA

PA

Physician Assistant

NPI: 1114179637IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

MA053585(PA)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2008

Contact & Hours

Address: 1800 MULBERRY ST
SCRANTON, PA 18510
Phone: (570) 703-4830

Quick Facts

NPI: 1114179637
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 18

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