Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Jean Halvonik, RPAC

Individual provider Medical Physician Assistant · NPI 1093784704

Kelly Jean Halvonik, RPAC is a Medical Physician Assistant in Brockport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Partly verified

Some contact details are missing from the federal record.

Interlakes Oncology & Hematology Pc 156 West Ave
Brockport, NY 14420
Phone: (585) 395-0124
Fax: (585) 395-0127
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004379-1 (NY)

Record details

NPI number1093784704
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorNo
NPI enumeratedMarch 15, 2006
Last updated in NPPESJuly 13, 2026

Other providers in Brockport