| Doctor Name: | KELSEY H. TATONE |
| NPI Number: | 1417290388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | C0005030 |
| Business Practice Address: | 77 W Barney St Gouverneur, NY - 136421040 |
| Business Phone Number: | 3152874440 |
| Business Fax Number: | 3152871858 |
| Mailing Address: | 4 Commerce Ln, CANTON |
| State: | NY |
| Postal Code: | 136173739 |
| Phone Number: | 3153868191 |
| Fax Number: | 3153861410 |
| NPI Enumeration Date: | 03/29/2013 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C0005030 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |