Individual
AILEEN O'KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LIVINGSTON ST, HONEOYE FALLS, NY 14472-1115
(585) 407-1960
Mailing address
1 LIVINGSTON ST, HONEOYE FALLS, NY 14472-1115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311650-1
NY
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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