Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Carroll

Individual provider Physician Assistant · NPI 1295693216

Kelly Carroll is a Physician Assistant in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

400 S Orange Ave
South Orange, NJ 07079-2646
Phone: (973) 761-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NJ)

Record details

NPI number1295693216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2026
Last updated in NPPESJanuary 10, 2026
Certification dateJanuary 10, 2026
Mailing address400 S Orange Ave, South Orange, NJ 07079-2646

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