Kellianne Tulley

NPI #1760842637 in Merrick, New York

Provider Information

NPI Number: 1760842637
Entity Type: Individual
Name: Kellianne Tulley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 4, 2016
Last Updated: Jun 28, 2023

Practice Location

Address: 21 WOODBINE AVE
City: Merrick
State: New York
ZIP Code: 11566-3130
Phone: (516) 663-8963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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