National Provider Identifier

Kelli AB Hektor, P.A.

Kelli AB Hektor, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 266-9100.

NPI 1407956980Ithaca, NYPhysician Assistant

Profile Overview

NPI
1407956980
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 24, 2006
Last Updated
July 17, 2014

Practice Location

  • 2343 N Triphammer RD
  • Ithaca, NY 14850-1092

Phone: (607) 266-9100

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1407956980
Entity Type
Individual
Last Name
Hektor
First Name
Kelli
Middle Name
AB
Name Prefix
Mrs.
Credential
P.A.
Provider Other Last Name
Benning
Provider Other First Name
Kelli
Provider Other Middle Name
A
Provider Other Credential Text
P.A.
Provider Other Last Name Type Code
1
Mailing Street Address
2343 N Triphammer RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1092
Mailing Country
US
Mailing Phone
(607) 266-9100
Mailing Fax
(607) 266-9200
Practice Street Address
2343 N Triphammer RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1092
Practice Country
US
Practice Phone
(607) 266-9100
Practice Fax
(607) 266-9200
Enumeration Date
September 24, 2006
Last Updated
July 17, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
02650388 (NY)