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Kelly Bly, ATC
Student in an Organized Health Care Education/Training Program in Waterford, New York
NPI 1851700322

Kelly Bly is a Student in an Organized Health Care Education/Training Program based in Waterford, NY. Kelly Bly practices in Waterford, NY and has the professional credentials of ATC. The NPI Number for Kelly Bly is 1851700322 and holds a License No. RT005900 (New York).

The current practice location address for Kelly Bly is 41 Lower Newtown Rd, Waterford, NY and can be reached out via phone at 518-391-5217.

Location: 41 Lower Newtown Rd, Waterford, NY, 12188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851700322
Provider Name
Kelly Bly
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
41 Lower Newtown Rd, Waterford, NY, 12188
Phone Number
518-391-5217
Fax Number
Provider Enumeration Date
08/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Lower Newtown Rd
City
Waterford
State
New York
Zip
12188
Phone Number
518-391-5217
Fax Number
person
Provider Business Mailing Address Details
Address
41 Lower Newtown Rd
City
Waterford
State
New York
Zip
12188
Phone Number
518-391-5217
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.
RT005900 (Pennsylvania)
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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