Kelly A Severa, PA Valid NPI

Individual provider · Medical Physician Assistant · Marlton, NJ

NPI

1235449810

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

25MP00246200 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2010-10-15

Last updated

2024-02-14