Individual provider · Type 1 NPI

Kelly Jean Halvonik, RPAC

Medical Physician Assistant · Brockport, NY

NPI number 1093784704 Active

Practice location

Interlakes Oncology & Hematology Pc, 156 West Ave.
Brockport, NY 14420

Call (585) 395-0124 Map

Fax (585) 395-0127

Mailing address

Interlakes Oncology & Hematology Pc, 211 White Spruce Blvd.
Rochester,, NY 14623

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X004379-1 (NY)

Medical Physician Assistant: Definition to come...

Other medical physician assistant providers in Brockport

See all in Brockport →

About NPI 1093784704

Kelly Jean Halvonik, RPAC's National Provider Identifier is 1093784704, issued on Mar 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brockport, NY. The record was last updated on Jul 13, 2026.