Individual
MR. MICHAEL GERARD KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
396 BROADWAY, MID HUDSON PHYSICIANS, PC, KINGSTON, NY 12401-4626
(845) 331-3131
(845) 334-2898
Mailing address
396 BROADWAY, MID HUDSON PHYSICIANS, PC, KINGSTON, NY 12401-4626
(845) 331-3131
(845) 334-2898
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03834842
—
NY
Enumeration date
12/02/2006
Last updated
07/14/2015
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