Individual
KELLEY HULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5 PALISADES DR, SUITE 220, ALBANY, NY 12205-6433
(518) 438-5538
(315) 448-6325
Mailing address
5 PALISADES DR, SUITE 220, ALBANY, NY 12205-6433
(518) 438-5538
(315) 448-6325
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004338
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300004338
—
NY
05
—
03223705
—
NY
Enumeration date
10/04/2006
Last updated
02/24/2012
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