Staci Carter-Kelly in Plattsburgh - Physician Assistant
Staci Carter-Kelly - NPI 1003029125
Staci Carter-Kelly is a Physician Assistant in Plattsburgh, New York. Staci Carter-Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Staci Carter-Kelly is 1003029125. The last update date is 2023-03-07.
Staci Carter-Kelly's current location address is 23 Hammond Ln, Plattsburgh, New York. You can contact this provider via phone number 5185611322 and fax number 5185613420. The mailing address for Staci Carter-Kelly is 23 Hammond Ln, Plattsburgh, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci Carter-Kelly |
|---|---|
| Address | 23 Hammond Ln, Plattsburgh, New York |
| Phone Number | 5185611322 |
| Fax Number | 5185613420 |
| Sole Proprietor | N |
| Credentials | RPA |
NPI Number Detail
| NPI Number | 1003029125 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 23 Hammond Ln |
|---|---|
| City | Plattsburgh |
| State | New York (NY) |
| Post Code | 129012000 |
| Phone Number | 5185611322 |
| Fax Number | 5185613420 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8144 |
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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 |
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What is the unique 10-digit identification code issued to Staci Carter-Kelly by the Centers for Medicare & Medicaid Services?
The Staci Carter-Kelly has been assigned the NPI (National Provider Identifier) 1003029125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Staci Carter-Kelly?
The Staci Carter-Kelly is situated at 23 Hammond Ln, in the city of Plattsburgh, state of NY, with the zip code 129012000.
What is the Staci Carter-Kelly's area of specialization and corresponding taxonomy classification?
The Staci Carter-Kelly's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1003029125 to Staci Carter-Kelly?
The Centers for Medicare & Medicaid Services assigned the 1003029125 to Staci Carter-Kelly on 2007-05-07.
When was the Staci Carter-Kelly's information last updated?
The Staci Carter-Kelly's information was last updated on 2023-03-07.
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