Individual
MISS KELLI HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7157 ELLICOTT RD, LOCKPORT, NY 14094-9482
(716) 720-0240
Mailing address
7157 ELLICOTT RD, LOCKPORT, NY 14094-9482
(716) 720-0240
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
7157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7157
—
NY
Enumeration date
11/11/2019
Last updated
11/11/2019
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