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Individual

CAROLINE MARY KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1003
(518) 587-3222
Mailing address
21 COBBLE HILL DR, GANSEVOORT, NY 12831-2525
(518) 779-7428

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028502
NY
363AM0700X
Medical Physician Assistant
NY

Other

Enumeration date
06/17/2022
Last updated
05/05/2023
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