Kelly Jo Vollmer in Colonie - Physician Assistant

Kelly Jo Vollmer - NPI 1982894101

Kelly Jo Vollmer is a Physician Assistant in Colonie, New York. Kelly Jo Vollmer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Jo Vollmer is 1982894101. The last update date is 2017-11-01.

Kelly Jo Vollmer's current location address is 105 Everett Rd, Colonie, New York. You can contact this provider via phone number 5186940999 and fax number 5186940998. The mailing address for Kelly Jo Vollmer is 105 Everett Rd, Colonie, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Jo Vollmer
Address 105 Everett Rd, Colonie, New York
Phone Number 5186940999
Fax Number 5186940998
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1982894101
Provider Enumeration Date 2007-07-25
Last Updated Date 2017-11-01

Provider Mailing Address Detail

Address 105 Everett Rd
City Colonie
State New York (NY)
Post Code 122051407
Phone Number 5186940999
Fax Number 5186940998

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 11880
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3074128 NY --

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FAQs about Kelly Jo Vollmer

What is the unique 10-digit identifier code issued to Kelly Jo Vollmer by the Centers for Medicare & Medicaid Services?

The Kelly Jo Vollmer has been assigned the NPI (National Provider Identifier) 1982894101 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Kelly Jo Vollmer's physical address?

The Kelly Jo Vollmer is physically located at 105 Everett Rd, in the city of Colonie, NY, with the postal code 122051407.

What is Kelly Jo Vollmer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kelly Jo Vollmer is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1982894101 to Kelly Jo Vollmer?

The Kelly Jo Vollmer received its 1982894101 assignment from the Centers for Medicare & Medicaid Services on 2007-07-25.

As of what date were the details related to Kelly Jo Vollmer most recently updated or revised?

The information pertaining to Kelly Jo Vollmer, including its address, specialty, and other relevant details, was last updated or revised on 2017-11-01.

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