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Individual

KATHLEEN BRIDGET JOLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., RPA-C

Contact information

Practice address
125 BUSINESS PARK DR, SUITE 150, UTICA, NY 13502-6304
(315) 235-2540
(315) 235-2171
Mailing address
125 BUSINESS PARK DR, SUITE 150, UTICA, NY 13502-6304
(315) 235-2540
(315) 235-2171

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011751-1
NY
363AS0400X
Surgical Physician Assistant
Primary
011751
NY

Other

Enumeration date
02/28/2007
Last updated
07/29/2015
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