Active NPIIndividual provider

Margaret A Kelly, PA-C

Physician Assistant in Waterford, New York

NPI Number1194378455
Practice location
158 Saratoga Ave, Waterford, NY 12188-2205
Fax
518-233-0903
Last updated
December 23, 2024

Margaret Anne Kelly is a Physician Assistant based in Waterford, NY. Margaret Anne Kelly practices in Waterford, NY and has the professional credentials of PA-C. The NPI Number for Margaret Anne Kelly is 1194378455 and holds a License No. 25MP00533500 (NJ). The current practice location address for Margaret Anne Kelly is 158 Saratoga Ave, Waterford, NY 12188-2205 and can be reached out via phone at 518-233-1162 and via fax at 518-233-0903.

Provider Profile Details

NPI Number
1194378455
Provider Name
Margaret Anne Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
158 Saratoga Ave, Waterford, NY 12188-2205
Phone Number
518-233-1162
Fax Number
518-233-0903
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2019
Last Update Date
December 23, 2024
Certification Date
December 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
158 Saratoga Ave
Waterford, NY 12188-2205
Zip
12188-2205
Phone Number
518-233-1162
Fax Number
518-233-0903
Waterford, NY 12188Get directions →

Provider Business Mailing Address Details

Address
Po Box 14890
Albany, NY 12212-4890
City
Albany
State
NY
Zip
12212-4890
Phone Number
518-525-5634
Fax Number
518-649-4094

License Information

License Number (1)
25MP00533500
License State (1)
NJ
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
032868
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Waterford, NY

View all Physician Assistants in Waterford →
No other indexed providers in Waterford yet.

Frequently Asked Questions

What is the NPI number of Margaret A Kelly, PA-C?

The NPI number of Margaret A Kelly, PA-C is 1194378455. It was assigned on July 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Margaret A Kelly, PA-C?

Margaret A Kelly, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00533500.

Where does Margaret A Kelly, PA-C practice?

The practice location is 158 Saratoga Ave, Waterford, NY 12188-2205. The office can be reached at 518-233-1162 (phone) or 518-233-0903 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194378455 directly on the NPPES registry website.

Browse related providers