Individual provider · Type 1 NPI

Kelly Marie Cenname, PA

Surgical Physician Assistant · Utica, NY

NPI number 1124312665 Active

Practice location

2211 Genesee St
Utica, NY 13501-5930

Mailing address

2209 Genesee St., Business Office
Utica, NY 13501-5930

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1124312665

Kelly Marie Cenname, PA's National Provider Identifier is 1124312665, issued on Jun 1, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Utica, NY. The record was last updated on Nov 19, 2020.