North, Kelly Marie

North, Kelly Marie is an individual health care provider with primary practice located at 260 Township Blvd Ste 20, Camillus NY 13031-1678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. North, Kelly Marie can be contacted via phone (315) 708-0091.

Contact Information

Primary practice address
260 Township Blvd Ste 20 Camillus NY 13031-1678
Fax: (315) 708-0194
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA001686L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA002604 Pennsylvania

Profile Details

NPI number 1821177130
LBN Legal business name North, Kelly Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 29th, 2019 - about 6 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

Popular Providers