Individual
BRENTNIE LAURIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
232 LORING AVE, BUFFALO, NY 14214-2710
(716) 335-2975
Mailing address
232 LORING AVE, BUFFALO, NY 14214-2710
(716) 335-2975
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
594962
NY
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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