Dr Chris L Kjolhede, MD | |
1 Atwell Rd, Cooperstown, NY 13326-1301 | |
(607) 547-3290 | |
(607) 547-5605 |
Full Name | Dr Chris L Kjolhede |
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Gender | Male |
Speciality | Pediatrics |
Location | 1 Atwell Rd, Cooperstown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003873472 | NPI | - | NPPES |
01488531 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 159772 (New York) | Primary |
Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
Mailing Address | Practice Location Address |
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Dr Chris L Kjolhede, MD Po Box 725, Cooperstown, NY 13326-0725 Ph: (607) 547-3290 | Dr Chris L Kjolhede, MD 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3290 |
Dr. William Charles Wassel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3074 Fax: 607-547-6782 | |
Dr. Margaret Ruth Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-7980 Fax: 607-547-6782 | |
Dr. Anne Marie Gadomski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3909 Fax: 607-547-6325 | |
Kelly Elizabeth Dewey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 | |
Brandon Greene, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-7980 Fax: 607-547-6782 | |
Kerri K Leblanc, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3290 Fax: 607-547-5605 |