Provider Profile

Nicole K. Kelly, PA

Unclaimed Profile

About Nicole Kelly

Listed in the NPI registry as a physician assistant, Nicole K. Kelly, PA practices in Goshen, NY. NPI 1760787709 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 014253As reported
NPINational Provider Identifier
1760787709Issued 2011

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Nicole K. Kelly specialize in?

Nicole K. Kelly is a physician assistant in Goshen, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Nicole K. Kelly located?

Nicole K. Kelly is listed at 30 Hatfield Ln Ste 109, Goshen, NY 10924. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Nicole K. Kelly's phone number?

The number on file is (845) 692-3111. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Nicole K. Kelly?

Nicole K. Kelly's National Provider Identifier is 1760787709. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Nicole K. Kelly have?

Nicole K. Kelly has 15+ years experience. Registered with an NPI since 2011. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Nicole K. Kelly's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Nicole K. Kelly. If this is you, claiming it is free.

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