Tulley, Kellianne

Tulley, Kellianne is an individual health care provider with primary practice located at 21 Woodbine Ave , Merrick NY 11566-3130. 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. Tulley, Kellianne can be contacted via phone (516) 663-8963.

Contact Information

Primary practice address
21 Woodbine Ave Merrick NY 11566-3130
Phone: (516) 663-8963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19479 New York

Profile Details

NPI number 1760842637
LBN Legal business name Tulley, Kellianne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2016
Last updated Jun 28th, 2023 - about last year

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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