Provider Demographics
NPI:1710248612
Name:ALUND-KELLEY, CHARLENE (MS SPECIAL EDUCATI)
Entity Type:Individual
Prefix:
First Name:CHARLENE
Middle Name:
Last Name:ALUND-KELLEY
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 NEW HOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-4937
Mailing Address - Country:US
Mailing Address - Phone:518-786-9754
Mailing Address - Fax:
Practice Address - Street 1:9 NEW HOLLAND DR
Practice Address - Street 2:
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-4937
Practice Address - Country:US
Practice Address - Phone:518-786-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist