Individual
COLLEEN ELIZABETH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 MASSACHUSETTS AVE, EMERGENCY DEPT ST MARYS HOSPITAL, TROY, NY 12180-1628
(518) 268-5697
(518) 268-5766
Mailing address
PO BOX 1434, BENNINGTON, VT 05201-1434
(802) 447-3520
(802) 447-3520
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0420008624
VT
207P00000X
Emergency Medicine Physician
160480
MA
207P00000X
Emergency Medicine Physician
Primary
2140431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975837
—
NY
Enumeration date
12/06/2005
Last updated
07/23/2008
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