Individual
KRISTEN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1134 STATE ROUTE 29, GREENWICH FAMILY HEALTH CENTER, GREENWICH, NY 12834-6107
(518) 692-9861
(518) 692-7947
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
280120
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2012
Last updated
02/22/2022
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