Individual provider · Type 1 NPI

Kelly Hannon, OTR

Specialist · Newburgh, NY

NPI number 1447313242 Active

Practice location

1607 Route 300, Suite 102
Newburgh, NY 12550-1738

Call (845) 564-9853 Map

Fax (845) 564-6974

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X009353-1 (NY)

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.

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About NPI 1447313242

Kelly Hannon, OTR's National Provider Identifier is 1447313242, issued on Dec 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newburgh, NY. The record was last updated on Jul 8, 2007.