Kateland H Kelly, PA-C
Physician Assistant in New Milford, Connecticut
1700178191- Practice location
- 11 Old Park Lane RD, New Milford, CT 06776-2507
- Phone
- 860-355-1149
- Fax
- 860-210-2008
- Last updated
- April 19, 2024
Kateland Heidi Kelly is a Physician Assistant based in New Milford, CT. Kateland Heidi Kelly practices in New Milford, CT and has the professional credentials of PA-C. The NPI Number for Kateland Heidi Kelly is 1700178191 and holds a License No. 055.0031323 (VT). The current practice location address for Kateland Heidi Kelly is 11 Old Park Lane RD, New Milford, CT 06776-2507 and can be reached out via phone at 860-355-1149 and via fax at 860-210-2008.
Provider Profile Details
- NPI Number
- 1700178191
- Provider Name
- Kateland Heidi Kelly
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Old Park Lane RD, New Milford, CT 06776-2507
- Phone Number
- 860-355-1149
- Fax Number
- 860-210-2008
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2011
- Last Update Date
- April 19, 2024
- Certification Date
- April 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Old Park Lane RD
New Milford, CT 06776-2507 - City
- New Milford
- State
- Connecticut
- Zip
- 06776-2507
- Phone Number
- 860-355-1149
- Fax Number
- 860-210-2008
Provider Business Mailing Address Details
- Address
- 11 Old Park Lane RD
New Milford, CT 06776-2507 - City
- New Milford
- State
- CT
- Zip
- 06776-2507
- Phone Number
- 860-355-1149
- Fax Number
- 860-210-2008
License Information
- License Number (1)
- 055.0031323
- License State (1)
- VT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 5214
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kateland H Kelly, PA-C?
The NPI number of Kateland H Kelly, PA-C is 1700178191. It was assigned on May 4, 2011 and is currently active in the NPPES registry.
What is the specialty of Kateland H Kelly, PA-C?
Kateland H Kelly, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031323.
Where does Kateland H Kelly, PA-C practice?
The practice location is 11 Old Park Lane RD, New Milford, CT 06776-2507. The office can be reached at 860-355-1149 (phone) or 860-210-2008 (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 1700178191 directly on the NPPES registry website.