Individual provider · Type 1 NPI
Tammy Kelly
Specialist · Boonville, NY
NPI number
1376190280
Active
Practice location
7070 Dorn Spur Rd
Boonville, NY 13309-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1376190280
Tammy Kelly's National Provider Identifier is 1376190280, issued on Aug 26, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boonville, NY. The record was last updated on Aug 26, 2019.