Organization
KELLY ANGELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY G ANGELL (LPN)
(607) 842-6419
Entity
Organization
Contact information
Practice address
5239 RANDALL HILL RD, TRUXTON, NY 13158-4208
(160) 784-2641
Mailing address
5239 RANDALL HILL RD, TRUXTON, NY 13158
(160) 784-2641
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
294888-1
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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