Individual
KELLY L SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1550
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1550
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009087
NY
Other
Enumeration date
06/28/2007
Last updated
03/21/2011
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