Beisel, Kelly Ann
Beisel, Kelly Ann is an individual health care provider with primary practice located at 89 Genesee St , New Hartford NY 13413-2336. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Beisel, Kelly Ann can be contacted via phone (315) 735-2294.Contact Information
Primary practice address
89 Genesee St
New Hartford NY 13413-2336
Phone: (315) 735-2294
Fax: (315) 735-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 010189-1 | New York |
Profile Details
| NPI number | 1932296449 |
|---|---|
| LBN Legal business name | Beisel, Kelly Ann |
| Credentials | RPA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jan 14th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932296449 | NPPES |
| New York | MEDICAID | 03370743 |
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