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Contact Information

PETER H KELLY, MD
776A WATERVLIET SHAKER RD
ACCESS HEALTH SYSTEMS
LATHAM, NY12110
 Phone: 518-782-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PETER H KELLY · (Male)

NPI Number 1205080850
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2008
Last updated 11/10/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 135828
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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