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Contact Information

KELLY T ROULEAU, PA
155 BORTHWICK AVE STE 201
PORTSMOUTH, NH03801
 Phone: 978-691-5690
 Fax: 603-410-4679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLY T ROULEAU · (Female)

NPI # 1750510533
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/14/2009
Last updated 03/04/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PA1660
  • NH License # 0734
Hospital affiliation(s)
  • EXETER HOSPITAL INC - (Acute Care)
    5 ALUMNI DRIVE
    EXETER, NH 03833
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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