Hirsch, Kelly J

Hirsch, Kelly J is an individual health care provider with primary practice located at 4077 West Rd , Cortland NY 13045-1637. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hirsch, Kelly J can be contacted via phone (607) 753-9977.

Contact Information

Primary practice address
4077 West Rd Cortland NY 13045-1637
Phone: (607) 753-9977
Fax: (607) 753-7311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334759 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381523 1 New York

Profile Details

NPI number 1619959343
LBN Legal business name Hirsch, Kelly J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Mar 3rd, 2021 - 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 1619959343 NPPES
Other 000926203001 HEALTHNOW
MEDICAID 02597780 HEALTHNOW
Other 161010811 HEALTHNOW

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