Individual
KATELYN LASHELL QUEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 COUNTY ROUTE 45A STE 100, OSWEGO, NY 13126-6665
(315) 342-6771
(315) 342-2842
Mailing address
3374 MAPLE AVE, PULASKI, NY 13142-2614
(315) 530-7479
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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