Kelley, Karen

Kelley, Karen is an individual health care provider with primary practice located at 2211 Genesee St , Utica NY 13501-5930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kelley, Karen can be contacted via phone (315) 733-7798.

Contact Information

Primary practice address
2211 Genesee St Utica NY 13501-5930
Phone: (315) 733-7798
Fax: (315) 733-7893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004716-1 New York

Profile Details

NPI number 1528005808
LBN Legal business name Kelley, Karen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528005808 NPPES
New York MEDICAID 02565364

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