KELSEY WAISANEN
Physician Assistant
Active
Individual
NPI: 1154084580
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 027541 (NY) |
Frequently Asked Questions
NPI 1154084580 is the National Provider Identifier for KELSEY WAISANEN, a Physician Assistant provider located in Miller Place, NY. This NPI was enumerated on October 21, 2021.
KELSEY WAISANEN practices at 111 SYLVAN AVE, Miller Place, NY 11764.
Quick Facts
- NPI
- 1154084580
- Type
- Individual
- Enumerated
- Oct 21, 2021
- Last Updated
- Aug 8, 2023
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