Individual
DR. KELLY M. DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-3293
(212) 263-3522
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-3293
(212) 263-3522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
254610
NY
390200000X
Student in an Organized Health Care Education/Training Program
049783
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2007
Last updated
11/02/2021
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