Provider Demographics
NPI:1225203664
Name:GARRETT, KELLY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:ANNE
Last Name:GARRETT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:BOX 172
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-6030
Mailing Address - Fax:212-746-6370
Practice Address - Street 1:1315 YORK AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5304
Practice Address - Country:US
Practice Address - Phone:212-746-6030
Practice Address - Fax:212-746-6370
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2015-11-18
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Provider Licenses
StateLicense IDTaxonomies
NY256779208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery