Donnelly, Kieran

Donnelly, Kieran is an sole proprietor health care provider with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Donnelly, Kieran can be contacted via phone (718) 869-7000.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Phone: (718) 869-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 026996 New York

Profile Details

NPI number 1922646066
LBN Legal business name Donnelly, Kieran
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2019
Last updated Aug 18th, 2021 - about 4 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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