National Provider Identifier
Kellen Lane Kreger, RPA-C
Kellen Lane Kreger, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 271-4508.
Profile Overview
- NPI
- 1942486212
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 16, 2008
- Last Updated
- February 18, 2014
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 271-4508
Mailing Address
- 722 W Water St
- Elmira, NY 14905-2435
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1942486212
- Entity Type
- Individual
- Last Name
- Kreger
- First Name
- Kellen
- Middle Name
- Lane
- Credential
- RPA-C
- Mailing Street Address
- 722 W Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2435
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2099
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 271-4508
- Practice Fax
- (607) 735-5738
- Enumeration Date
- January 16, 2008
- Last Updated
- February 18, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 029169801 (NY)