National Provider Identifier
Abigail Kelly
Abigail Kelly is listed in the NPPES registry with a primary specialty of Other Specialist/Technologist in Breesport, NY and a listed phone number of (607) 481-5012.
Profile Overview
- NPI
- 1972376499
- Provider Type
- Individual
- Primary Specialty
- Other Specialist/Technologist
- Enumeration Date
- November 06, 2023
- Last Updated
- November 06, 2023
Practice Location
- 223 1St St
- Breesport, NY 14816-9701
Phone: (607) 481-5012
Specialties
- Other Specialist/Technologist (246Z00000X)
Full Record
- NPI
- 1972376499
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Abigail
- Mailing Street Address
- 223 1St St
- Mailing City
- Breesport
- Mailing State
- NY
- Mailing ZIP Code
- 14816-9701
- Mailing Country
- US
- Mailing Phone
- (607) 481-5012
- Practice Street Address
- 223 1St St
- Practice City
- Breesport
- Practice State
- NY
- Practice ZIP Code
- 14816-9701
- Practice Country
- US
- Practice Phone
- (607) 481-5012
- Enumeration Date
- November 06, 2023
- Last Updated
- November 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Other Specialist/Technologist (246Z00000X)