Individual
DR. KRISTIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-1800
(315) 464-6238
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
266175
NY
208C00000X
Colon & Rectal Surgery Physician
266175
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2010
Last updated
09/11/2020
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