Active NPIIndividual provider

Sandra Kelley, PA

Physician Assistant, Medical in Hope Valley, Rhode Island

NPI Number1669685830
Practice location
823 Main St, Hope Valley, RI 02832-1920
Fax
401-753-6348
Last updated
February 3, 2016

Sandra Kelley is a Physician Assistant, Medical based in Hope Valley, RI. Sandra Kelley practices in Hope Valley, RI and has the professional credentials of PA. The NPI Number for Sandra Kelley is 1669685830 and holds a License No. PA00811 (RI). The current practice location address for Sandra Kelley is 823 Main St, Hope Valley, RI 02832-1920 and can be reached out via phone at 401-539-2461 and via fax at 401-753-6348.

Provider Profile Details

NPI Number
1669685830
Provider Name
Sandra Kelley
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
823 Main St, Hope Valley, RI 02832-1920
Phone Number
401-539-2461
Fax Number
401-753-6348
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Sandra Rognalsen, PA (Former Name)
Provider Enumeration Date
May 7, 2007
Last Update Date
February 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
823 Main St
Hope Valley, RI 02832-1920
Zip
02832-1920
Phone Number
401-539-2461
Fax Number
401-753-6348
Hope Valley, RI 02832Get directions →

Provider Business Mailing Address Details

Address
823 Main St
Hope Valley, RI 02832-1920
City
Hope Valley
State
RI
Zip
02832-1920
Phone Number
401-539-2461
Fax Number
401-753-6348

License Information

License Number (1)
PA00811
License State (1)
RI
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (2)
001044
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Sandra Kelley, PA?

The NPI number of Sandra Kelley, PA is 1669685830. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Sandra Kelley, PA?

Sandra Kelley, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00811.

Where does Sandra Kelley, PA practice?

The practice location is 823 Main St, Hope Valley, RI 02832-1920. The office can be reached at 401-539-2461 (phone) or 401-753-6348 (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 1669685830 directly on the NPPES registry website.

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