KELLY JEAN HALVONIK

BROCKPORT, NY
NPI1093784704
Former NameKELLY JEAN FARDINK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  004379-1)
Enumeration Date2006-03-15
Last Update Date2007-07-08
Business Address
-- KELLY JEAN HALVONIK RPAC
INTERLAKES ONCOLOGY & HEMATOLOGY PC 156 WEST AVE.
BROCKPORT, NY 14420
Phone number: 585-395-0124
Mailing Address
-- KELLY JEAN HALVONIK RPAC
INTERLAKES ONCOLOGY & HEMATOLOGY PC 211 WHITE SPRUCE BLVD.
ROCHESTER,, NY 14623
Phone number: 585-475-8728
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