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Individual
KELLY S. REMINGTON
Active
Individual
KELLY S. REMINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007048
NY
363A00000X
Physician Assistant
0070481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026494802
UNIVERA
—
01
—
000570244003
BC/BS
—
01
—
000570244007
BC
—
01
—
000Z6494801
UNIVERA
—
05
—
02344801
—
NY
01
—
060921000000
FIDELIS
—
01
—
9511857
IHA
—
Enumeration date
04/14/2006
Last updated
10/22/2008
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