MRS. Nicole K Kelly, PA

NPI #1760787709 in Goshen, New York

Provider Information

NPI Number
1760787709
Entity Type
Individual
Name
MRS. Nicole K Kelly, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jan 24, 2011
Last Updated
Nov 20, 2014

Practice Location

Address
30 HATFIELD LN
Address 2
STE 109
City
Goshen
ZIP Code
10924-6766
Phone
(845) 692-3111

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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