Vanduyne, Kayleigh Breanne

Vanduyne, Kayleigh Breanne is an individual health care provider with primary practice located at 1991 Balsley Rd , Seneca Falls NY 13148-6725. 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. Vanduyne, Kayleigh Breanne can be contacted via phone (315) 539-9229.

Contact Information

Primary practice address
1991 Balsley Rd Seneca Falls NY 13148-6725
Phone: (315) 539-9229
Fax: (315) 539-0940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 014436 New York

Profile Details

NPI number 1154623882
LBN Legal business name Vanduyne, Kayleigh Breanne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Mar 24th, 2011 - about 14 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 1154623882 NPPES
New York MEDICAID 03313848

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