Hektor, Kelli Ab

Hektor, Kelli Ab is an sole proprietor health care provider with primary practice located at 2343 N Triphammer Rd , Ithaca NY 14850-1092. 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. Hektor, Kelli Ab can be contacted via phone (607) 266-9100.

Contact Information

Primary practice address
2343 N Triphammer Rd Ithaca NY 14850-1092
Fax: (607) 266-9200
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010523 New York

Profile Details

NPI number 1407956980
LBN Legal business name Hektor, Kelli Ab
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Jul 17th, 2014 - about 10 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 1407956980 NPPES
New York MEDICAID 02650388

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