# DR. KELLI LEIGH PATENAUDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366465593
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 011154 | NY | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10110754 | CDPHP | NY |
| 01 | — | 1065576 | ASHN | NY |
| 01 | — | 204061411 | LANDMARK | NY |
| 01 | — | 20406141101 | PRISM HEALTH NETWORK | NY |
| 01 | — | C11154-4W | WORKERS' COMPENSATION | NY |
| 01 | — | NY11154 | MVP HEALTH PLAN | NY |
| 01 | — | X08P31 | BLUE CROSS / BLUE SHIELD | NY |