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Jillian Egan Kelly

Urology in Albany, NY. Individual provider (NPI-1).

NPI number1912430356
StatusActive
Last updated in NPPESAug 19, 2024

Details

NPI
1912430356
Entity type
Individual (NPI-1)
Name
Jillian Egan Kelly
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 4, 2017
Certification date
Aug 19, 2024
Last updated
Aug 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology291187MAYes

Practice location

23 Hackett Blvd
Albany, NY 12208-3436

Phone 518-262-4784

Mailing address

23 Hackett Blvd
Albany, NY 12208-3436

Other practice locations

3800 Reservoir Rd Nw
Department Of Urology
Washington, DC 20007-2113

Phone 202-444-4922 · Fax 202-444-6292

55 Fruit St
Boston, MA 02114-2696

Phone 617-726-3010 · Fax 617-643-8525

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