Most Relevant Information
Provider Data
| NPI Number: | 1003380650 |
| Provider Name: | KERIBETH R SEARCY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 5033 |
Most Important Dates
| Enumeration Date: | 01/17/2019 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
2165 DIXWELL AVE
HAMDEN
CT
065142116
Practice Location Phone/Fax
| Phone: | 8553492828 |
| Fax: |
Provider Mailing Location
2928 MAIN ST STE 101
GLASTONBURY
CT
060331007
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |