Kelley, Colleen Elizabeth

Kelley, Colleen Elizabeth is an individual health care provider with primary practice located at 1300 Massachusetts Ave Emergency Dept St Marys Hospital, Troy NY 12180-1628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kelley, Colleen Elizabeth can be contacted via phone (518) 268-5697.

Contact Information

Primary practice address
1300 Massachusetts Ave Emergency Dept St Marys Hospital Troy NY 12180-1628
Phone: (518) 268-5697
Fax: (518) 268-5766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2140431 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 160480 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0420008624 Vermont

Profile Details

NPI number 1427032119
LBN Legal business name Kelley, Colleen Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 23rd, 2008 - about 17 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 1427032119 NPPES
New York MEDICAID 01975837

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