Kathleen Erica Kelly, is a
Speech-language Pathologist based in Richmondville, New York. Kathleen Erica Kelly is licensed to practice in New York (license number 014121) and her current practice location is
319 Main St, Richmondville, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 234-3165.
NPI number for Kathleen Erica Kelly is 1184991697 and her current mailing address is 319 Main Street, Richmondville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184991697.
Healthcare Provider's Profile
| Full Name | Kathleen Erica Kelly |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 319 Main St, Richmondville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184991697
- Provider Enumeration Date: 11/29/2011
- Last Update Date: 11/29/2011
Medical Identifiers
Medical identifiers for Kathleen Erica Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184991697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 014121 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Erica Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Erica Kelly,
319 Main Street,
Richmondville, NY 12149
Ph: (518) 234-3165 | Kathleen Erica Kelly,
319 Main St,
Richmondville, NY 12149
Ph: (518) 234-3165 |
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