Kelly Marisa Miller, PA-C
Physician Assistant in Schenectady, NY. Individual provider (NPI-1).
NPI number1144779489
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1144779489
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kelly Marisa Miller
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2016
- Certification date
- Oct 25, 2023
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 020187 | NY | Yes |
Practice location
1101 Nott StSchenectady, NY 12308-2425
Phone 518-243-4001
Mailing address
1101 Nott StreetCath Lab A2
Schenectady, NY 12308
Phone 518-243-4001 · Fax 182-434-4335
Other practice locations
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All 89 Physician Assistant providers in Schenectady · All 3,004 providers in Schenectady
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