Skelly, Kathleen Rose

Skelly, Kathleen Rose is an individual health care provider with primary practice located at 1692 Central Ave , Albany NY 12205-4045. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Skelly, Kathleen Rose can be contacted via phone (518) 869-5799.

Contact Information

Primary practice address
1692 Central Ave Albany NY 12205-4045
Phone: (518) 869-5799
Fax: (518) 862-1489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000942 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 006515 New York

Profile Details

NPI number 1407862931
LBN Legal business name Skelly, Kathleen Rose
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 13th, 2014 - about 10 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 1407862931 NPPES
New York MEDICAID 03767782
New York MEDICAID 198604667A
New York Other 978002

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