Kelsie Rae Fournier, PA-C
Physician Assistant in Malone, NY. Individual provider (NPI-1).
NPI number1962069716
StatusActive
Last updated in NPPESOct 4, 2021
Details
- NPI
- 1962069716
- Entity type
- Individual (NPI-1)
- Name
- Kelsie Rae Fournier
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2019
- Certification date
- Oct 4, 2021
- Last updated
- Oct 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
380 County Route 51Malone, NY 12953-4504
Phone 518-483-2600 · Fax 518-483-0115
Mailing address
380 County Route 51Malone, NY 12953-4504
Phone 518-483-2600
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All 9 Physician Assistant providers in Malone · All 746 providers in Malone
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