Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 402661 | NY |
NPI | 1013569227 |
---|---|
Provider Name | Kaleigh Ann Hadley |
First Address | Delanson, NY 12053-5001 |
Second Address | Cooperstown, NY 13326-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2019 |
Last Update Date | 01/03/2021 |