Nordland, Kelly Irene

Nordland, Kelly Irene is an sole proprietor health care provider with primary practice located at 888 Old Country Rd , Plainview NY 11803-4914. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Nordland, Kelly Irene can be contacted via phone (516) 719-3000.

Contact Information

Primary practice address
888 Old Country Rd Plainview NY 11803-4914
Phone: (516) 719-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 023209 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 023209 New York

Profile Details

NPI number 1538623053
LBN Legal business name Nordland, Kelly Irene
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Apr 18th, 2022 - about 4 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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