Marotta, Kelly A

Marotta, Kelly A is an individual health care provider with primary practice located at 1150 Youngs Rd Ste 202 , Williamsville NY 14221-8024. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marotta, Kelly A can be contacted via phone (716) 636-9004.

Contact Information

Primary practice address
1150 Youngs Rd Ste 202 Williamsville NY 14221-8024
Phone: (716) 636-9004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 521501 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 335120 New York

Profile Details

NPI number 1881730489
LBN Legal business name Marotta, Kelly A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 13th, 2020 - about 5 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 1881730489 NPPES
New York MEDICAID 02869432

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