DR. KATHLEEN ROSE SKELLY DPM NPI 1407862931

NPI Information

NPI: 1407862931
Provider Name: DR. KATHLEEN ROSE SKELLY, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
1692 CENTRAL AVE
ALBANY, NY
ZIP 12205
Phone: (518) 869-5799
Get Directions

DR. Kathleen Rose Skelly, DPM is a foot and ankle surgery podiatrist in Albany, NY. DR. Kathleen Rose Skelly, DPM NPI is 1407862931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1692 CENTRAL AVE
ALBANY, NY
ZIP 12205-045
Phone: (518) 869-5799
Fax: (518) 862-1489

The enumeration date for this NPI number is 8/1/2006 and was last updated on 11/13/2014.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	000942	GEORGIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	006515	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	978002	OTHER	GEORGIA	BCBS PROVIDER NUMBER
2	48SCCRT	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
3	GRP7155	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE GROUP NUMBER
4	03767782	MEDICAID	NEW YORK
5	U87020	MEDICARE UPIN	GEORGIA
6	198604667A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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