Gumpel, Kelly Elaine

Gumpel, Kelly Elaine is an sole proprietor health care provider with primary practice located at 60 Paulding Ave , Tarrytown NY 10591-5713. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Gumpel, Kelly Elaine can be contacted via phone (914) 280-0500.

Contact Information

Primary practice address
60 Paulding Ave Tarrytown NY 10591-5713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 007906 New York

Profile Details

NPI number 1912338120
LBN Legal business name Gumpel, Kelly Elaine
Credentials RD, CDN, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2013
Last updated Feb 26th, 2019 - about 6 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 1912338120 NPPES
New York MEDICAID 00695941

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