Kelly, Judy

Kelly, Judy is an individual health care provider with primary practice located at St. Mary'S Hosp. Fam. Hlth. Ctr. At Johnsville 7 Timmerman Avenue, St. Johnsville NY 13452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Judy can be contacted via phone (518) 568-7145.

Contact Information

Primary practice address
St. Mary'S Hosp. Fam. Hlth. Ctr. At Johnsville 7 Timmerman Avenue St. Johnsville NY 13452
Phone: (518) 568-7145
Fax: (518) 568-7147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 330791-1 New York

Profile Details

NPI number 1316946494
LBN Legal business name Kelly, Judy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 3rd, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316946494 NPPES
New York Other 141347719 UHC
New York Other 970803 UHC
New York MEDICAID 02406673 UHC

Popular Providers