Individual provider · Type 1 NPI
Colleen Kelly
Medical Physician Assistant · New York, NY
NPI number
1083196968
Active
Practice location
170 William St
New York, NY 10038-2612
Mailing address
809 6th St
East Northport, NY 11731-2114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1083196968
Colleen Kelly's National Provider Identifier is 1083196968, issued on Sep 6, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Sep 6, 2018.