Individual
MS. KELLY ANN BEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
89 GENESEE ST, NEW HARTFORD, NY 13413-2336
(315) 735-2294
(315) 735-2021
Mailing address
89 GENESEE ST, NEW HARTFORD, NY 13413-2336
(315) 735-2294
(315) 735-2021
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010189-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03370743
—
NY
Enumeration date
10/06/2006
Last updated
01/14/2013
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