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Kelly Mae Salmons

Physician Assistant in Syracuse, NY. Individual provider (NPI-1).

NPI number1265130355
StatusActive
Last updated in NPPESOct 15, 2024

Details

NPI
1265130355
Entity type
Individual (NPI-1)
Name
Kelly Mae Salmons
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2023
Certification date
Oct 15, 2024
Last updated
Oct 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant032779NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

411 Pleasant Ave
Syracuse, NY 13212-3700

Phone 315-560-5491

Mailing address

411 Pleasant Ave
Syracuse, NY 13212-3700

Phone 315-560-5491

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