Individual
CLAUDETTE KENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1624 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 376-2220
(718) 376-3226
Mailing address
1624 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 376-2220
(718) 376-3226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004114
NY
363AM0700X
Medical Physician Assistant
004114
NY
Other
Enumeration date
06/08/2011
Last updated
06/09/2011
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