Individual provider · Type 1 NPI

Nicole K. Kelly, PA

Physician Assistant · Goshen, NY

NPI number 1760787709 Active

Practice location

30 Hatfield Ln, Ste 109
Goshen, NY 10924-6766

Fax (845) 294-0118

Mailing address

2 Coates Dr
Goshen, NY 10924-6758

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X014253 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760787709

Nicole K. Kelly, PA's National Provider Identifier is 1760787709, issued on Jan 24, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Goshen, NY. The record was last updated on Nov 20, 2014.