Macdonald, Kelly

Macdonald, Kelly is an individual health care provider with primary practice located at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum NY 13602-5004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Macdonald, Kelly can be contacted via phone (315) 772-2778.

Contact Information

Primary practice address
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602-5004
Phone: (315) 772-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101261257 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1528453677
LBN Legal business name Macdonald, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2015
Last updated Apr 28th, 2020 - about 6 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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