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Mrs. Kelly O'sullivan, PA-C
Medical Physician Assistant in Lancaster, New York
NPI 1467488072

Kelly O'sullivan is a Medical Physician Assistant based in Williamsville, NY and is specialized in Medical. Kelly O'sullivan practices in Lancaster, NY and has the professional credentials of PA-C. The NPI Number for Kelly O'sullivan is 1467488072 and holds a License No. 007841 (New York).

The current practice location address for Kelly O'sullivan is 3 Silent Meadow Ln, Lancaster, NY and can be reached out via phone at 716-391-0937.

Location: 3 Silent Meadow Ln, Lancaster, NY, 14221-7237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467488072
Provider Name
Kelly O'sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3 Silent Meadow Ln, Lancaster, NY, 14221-7237
Phone Number
716-391-0937
Fax Number
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02426548 05 NY
institution
Provider Business Practice Location Address Details
Address
3 Silent Meadow Ln
City
Lancaster
State
New York
Zip
14086-3430
Phone Number
716-391-0937
Fax Number
person
Provider Business Mailing Address Details
Address
3 Silent Meadow Ln
City
Lancaster
State
New York
Zip
14086-3430
Phone Number
716-391-0937
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
007841 (New York)
Definition
Definition to come...
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