Individual
MS. KELLIE ANN CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RETAIL PROVIDER
Contact information
Practice address
798 MEADOWDALE RD, ALTAMONT, NY 12009-4710
(518) 858-8129
(518) 861-6840
Mailing address
798 MEADOWDALE RD, ALTAMONT, NY 12009-4710
(518) 858-8129
(518) 861-6840
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
09/12/2022
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