Most Relevant Information
Provider Data
| NPI Number: | 1003029125 |
| Provider Name: | STACI CARTER-KELLY RPA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 008144 |
Most Important Dates
| Enumeration Date: | 05/07/2007 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
23 HAMMOND LN
PLATTSBURGH
NY
129012000
Practice Location Phone/Fax
| Phone: | 5185611322 |
| Fax: | 5185613420 |
Provider Mailing Location
23 HAMMOND LN
PLATTSBURGH
NY
129012000
Provider Mailing Phone/Fax
| Phone: | 5185611322 |
| Fax: | 5185613420 |