DR. KELLI LEIGH PATENAUDE D.C. NPI 1366465593

NPI Information

NPI: 1366465593
Provider Name: DR. KELLI LEIGH PATENAUDE, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
172 HUDSON AVE.
STILLWATER, NY
ZIP 12170
Phone: (518) 664-4525
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DR. Kelli Leigh Patenaude, D.C. is a chiropractor in Stillwater, NY with 19 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Kelli Leigh Patenaude, D.C. NPI is 1366465593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK CHIROPRACTIC COLLEGE
Graduation Year:2005

The provider's business location address is:

172 HUDSON AVE.
STILLWATER, NY
ZIP 12170-427
Phone: (518) 664-4525
Fax: (518) 664-1256

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		011154	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20406141101	OTHER	NEW YORK	PRISM HEALTH NETWORK
2	V08680	MEDICARE UPIN
3	RA9916	MEDICARE ID-TYPE UNSPECIFIED
4	NY11154	OTHER	NEW YORK	MVP HEALTH PLAN
5	C11154-4W	OTHER	NEW YORK	WORKERS' COMPENSATION
6	X08P31	OTHER	NEW YORK	BLUE CROSS / BLUE SHIELD
7	10110754	OTHER	NEW YORK	CDPHP
8	1065576	OTHER	NEW YORK	ASHN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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