Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. KEVIN ANTHONY OKELLY
Active
Individual
MR. KEVIN ANTHONY OKELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED PRACTICAL N
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
271275
NY
Other
Enumeration date
04/28/2010
Last updated
12/06/2013
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