Individual provider · Type 1 NPI

Kieley Elizabeth Gundlach

Specialist · Albany, NY

NPI number 1700136629 Active

Practice location

76 Mcnutt Ave
Albany, NY 12205-2924

Call (518) 944-4377 Map

Mailing address

76 Mcnutt Avenue
Albany, NY 12205

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2206212 (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 1700136629

Kieley Elizabeth Gundlach's National Provider Identifier is 1700136629, issued on Sep 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Albany, NY. The record was last updated on Sep 18, 2012.