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Dr. Jacob Nathaniel Kelly, MD
Student in an Organized Health Care Education/Training Program in Binghamton, New York
NPI 1023713856

Jacob Nathaniel Kelly is a Student in an Organized Health Care Education/Training Program based in Cortland, NY. Jacob Nathaniel Kelly practices in Binghamton, NY and has the professional credentials of MD. The NPI Number for Jacob Nathaniel Kelly is 1023713856 and holds a License No. (New York).

The current practice location address for Jacob Nathaniel Kelly is 169 Riverside Dr, Binghamton, NY and can be reached out via phone at 607-798-5111.

Location: 169 Riverside Dr, Binghamton, NY, 13045-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023713856
Provider Name
Jacob Nathaniel Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
169 Riverside Dr, Binghamton, NY, 13045-1824
Phone Number
607-798-5111
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
169 Riverside Dr
City
Binghamton
State
New York
Zip
13905-4246
Phone Number
607-798-5111
Fax Number
person
Provider Business Mailing Address Details
Address
169 Riverside Dr
City
Binghamton
State
New York
Zip
13905-4246
Phone Number
607-798-5111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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