NPI 1366025165
Kelly Elizabeth Underwood
Practice location
- Address
- 1031 E Fayette St, Syracuse, NY 13210-1022
- Phone
- (315) 732-3437
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1366025165
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Apr 2021
- Record last updated
- 30 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.