Individual
KELSEY HOAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1769 UNION ST, NISKAYUNA, NY 12309-6311
(518) 264-9000
Mailing address
115 SARATOGA RD STE 110, GLENVILLE, NY 12302-4210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055-0031489
VT
363AM0700X
Medical Physician Assistant
Primary
023021
NY
Other
Enumeration date
11/20/2018
Last updated
08/31/2022
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