Cummings, Kellie

Cummings, Kellie is an individual health care provider with primary practice located at 400 Gidney Ave , Newburgh NY 12550-3760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cummings, Kellie can be contacted via phone (845) 561-1565.

Contact Information

Primary practice address
400 Gidney Ave Newburgh NY 12550-3760
Phone: (845) 561-1565
Fax: (845) 561-1578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 024733 New York

Profile Details

NPI number 1407480551
LBN Legal business name Cummings, Kellie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2020
Last updated Apr 29th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407480551 NPPES
New York Other 024733 NY LICENSE

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