Kelley, Patricia O.

Kelley, Patricia O. is an individual health care provider with primary practice located at 756 Madison Ave , Albany NY 12208-3823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kelley, Patricia O. can be contacted via phone (518) 449-2514.

Contact Information

Primary practice address
756 Madison Ave Albany NY 12208-3823
Phone: (518) 449-2514
Fax: (518) 449-2470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401154 New York

Profile Details

NPI number 1932364916
LBN Legal business name Kelley, Patricia O.
Credentials NPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2008
Last updated Nov 21st, 2017 - about 7 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 1932364916 NPPES
New York MEDICAID 03012700

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