Individual
KELLY ELIZABETH DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
312335
NY
208000000X
Pediatrics Physician
MD467541
PA
390200000X
Student in an Organized Health Care Education/Training Program
827893095
NY
Other
Enumeration date
04/13/2016
Last updated
09/20/2021
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