Individual
KELLY ANN WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 E ADAMS ST, UPSTATE MEDICAL UNIVERSITY HOSPITAL; KIDNEY TRANSPLANT, SYRACUSE, NY 13210-2342
(315) 464-5413
Mailing address
41 ARCH ST, JOHNSON CITY, NY 13790-2101
(607) 729-2121
(607) 798-7751
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014138
NY
Other
Enumeration date
03/28/2007
Last updated
09/07/2017
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