Individual
MR. KELSEY BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 483-3261
(518) 483-3383
Mailing address
324 COUNTY ROUTE 51 BLDG 1, MALONE, NY 12953-4502
(518) 483-1251
(518) 483-2242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630823
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10022754
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407495
NY
Other
Enumeration date
11/22/2013
Last updated
10/10/2025
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