Kelly Doherty PA

NPI 1720236656 - Physician Assistant - 363A00000X

NPI Details
NPI 1720236656
Gender Female
Enumeration Date 09/04/2008
Last Updated 09/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
211 CHURCH ST
SARATOGA SPRINGS NY, 12866-1003, US
Phone (518) 587-1141
Fax (518) 587-1152
Business Location
454 MAPLE AVE
SARATOGA SPRINGS NY, 12866-5532, US
Phone (518) 587-1141
Fax (518) 587-1152
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 012678
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According to our database, Kelly Doherty PA NPI is 1720236656, taxonomy code is 363A00000X and license number is 012678, license state is located at New York. Kelly Doherty PA physically located at 211 Church St, Saratoga Springs NY, 12866-1003. NPI Number Kelly Doherty PA has the Individual type.

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1720236656 NPI number is provided on an as is basis without warranty of any kind. 1720236656 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Doherty PA are for informational purposes only.