Knill, Kelly A

Knill, Kelly A is an individual health care provider with primary practice located at 100 Park St , Glens Falls NY 12801-4413. 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. Knill, Kelly A can be contacted via phone (518) 761-0300.

Contact Information

Primary practice address
100 Park St Glens Falls NY 12801-4413
Phone: (518) 761-0300
Fax: (518) 480-0119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007403 New York

Profile Details

NPI number 1215915780
LBN Legal business name Knill, Kelly A
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Feb 7th, 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 1215915780 NPPES
New York MEDICAID 02346830

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