Kelstone, Kimberly S

Kelstone, Kimberly S is an individual health care provider with primary practice located at 725 Irving Ave Ste 600, Syracuse NY 13210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kelstone, Kimberly S can be contacted via phone (315) 464-5162.

Contact Information

Primary practice address
725 Irving Ave Ste 600 Syracuse NY 13210
Phone: (315) 464-5162
Fax: (315) 464-4613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001880 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 002480175 Virginia

Profile Details

NPI number 1962908293
LBN Legal business name Kelstone, Kimberly S
Credentials DNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Jan 3rd, 2022 - about 4 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 1962908293 NPPES
New York Other 001880 NY STATE OFFICE OF THE PROFESSIONS
New York MEDICAID 05247618 NY STATE OFFICE OF THE PROFESSIONS
New York Other 0024180175 NY STATE OFFICE OF THE PROFESSIONS

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