Powers, Kelley Elizabeth

Powers, Kelley Elizabeth is an individual health care provider with primary practice located at 1547 Columbia Tpke , Castleton NY 12033-9543. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Powers, Kelley Elizabeth can be contacted via phone (518) 479-4156.

Contact Information

Primary practice address
1547 Columbia Tpke Castleton NY 12033-9543
Phone: (518) 479-4156
Fax: (518) 479-3794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017206 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 017206 New York

Profile Details

NPI number 1164852216
LBN Legal business name Powers, Kelley Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Sep 16th, 2014 - about 12 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 1164852216 NPPES
New York Other W34181 MEDICARE PTAN
New York Other AA0422 MEDICARE PTAN
New York Other BA0876 MEDICARE PTAN

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