Kelsey Waisanen
Physician Assistant in Miller Place, NY. Individual provider (NPI-1).
NPI number1154084580
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1154084580
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Waisanen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2021
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 027541 | NY | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
111 Sylvan AveMiller Place, NY 11764-2420
Phone 631-928-4888
Mailing address
111 Sylvan AveMiller Place, NY 11764-2420
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Miller Place, NY
- Kristina Joan Denenkamp, PANPI 1811396096
- Justin Lloyd Fink, PA-CNPI 1568714665
- Daniel R. Raio, RPA-CNPI 1417078767
- Laurie J Wallace, RPA-CNPI 1326261579
All 5 Physician Assistant providers in Miller Place · All 380 providers in Miller Place
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