Kelly Jean Halvonik RPAC

NPI 1093784704 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093784704
Gender Female
Enumeration Date 03/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
INTERLAKES ONCOLOGY & HEMATOLOGY PC
156 WEST AVE.
BROCKPORT NY, 14420, US
Phone (585) 395-0124
Fax (585) 395-0127
Business Location
INTERLAKES ONCOLOGY & HEMATOLOGY PC
211 WHITE SPRUCE BLVD.
ROCHESTER, NY, 14623, US
Phone (585) 475-8728
Fax (585) 475-9411
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 004379-1
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According to our database, Kelly Jean Halvonik RPAC NPI is 1093784704, taxonomy code is 363AM0700X and license number is 004379-1, license state is located at New York. Kelly Jean Halvonik RPAC physically located at Interlakes Oncology & Hematology Pc, Brockport NY, 14420. NPI Number Kelly Jean Halvonik RPAC has the Individual type.

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1093784704 NPI number is provided on an as is basis without warranty of any kind. 1093784704 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Jean Halvonik RPAC are for informational purposes only.