Kelley Jannae Halstead MD

NPI 1063420552 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063420552
Gender Female
Enumeration Date 08/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
142 JORALEMON ST
SUITE 4C-F
BROOKLYN NY, 11201-4709, US
Phone (718) 624-0604
Fax
Business Location
300 LENOX RD
APT 2L
BROOKLYN NY, 11226-2273, US
Phone (718) 941-0088
Fax
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 238568
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According to our database, Dr. Kelley Jannae Halstead MD NPI is 1063420552, taxonomy code is 207V00000X and license number is 238568, license state is located at New York. Kelley Jannae Halstead MD physically located at 142 Joralemon St, Brooklyn NY, 11201-4709. NPI Number Kelley Jannae Halstead MD has the Individual type.

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1063420552 NPI number is provided on an as is basis without warranty of any kind. 1063420552 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley Jannae Halstead MD are for informational purposes only.