KELLY HANNON OTR NPI 1447313242

NPI Information

NPI: 1447313242
Provider Name: KELLY HANNON, OTR
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1607 ROUTE 300
SUITE 102
NEWBURGH, NY
ZIP 12550
Phone: (845) 564-9853
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Kelly Hannon, OTR is a specialist in Newburgh, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kelly Hannon, OTR NPI is 1447313242. 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:

1607 ROUTE 300
SUITE 102
NEWBURGH, NY
ZIP 12550-738
Phone: (845) 564-9853
Fax: (845) 564-6974

The enumeration date for this NPI number is 12/19/2006 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	174400000X	Specialist		009353-1	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	009353-1	OTHER	NEW YORK	OT LICENSE

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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