Individual
MS. KRISTINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1000
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008257
NY
Other
Enumeration date
05/07/2008
Last updated
04/01/2021
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