Kylie Papagelos, PA
Physician Assistant in Syracuse, NY. Individual provider (NPI-1).
NPI number1699428151
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1699428151
- Entity type
- Individual (NPI-1)
- Name
- Kylie Papagelos
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2022
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 029138 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
750 East Adams StSyracuse, NY 13210
Phone 315-464-5979 · Fax 315-464-4761
Mailing address
251 Selina Meadows ParkwaySuite 100
Syracuse, NY 13212
Phone 315-464-2000 · Fax 315-464-2010
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