Individual
KELLIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 NOTT ST STE 106, SCHENECTADY, NY 12308-2589
(518) 221-8745
Mailing address
20 PRINS HILL WAY, CASTLETON, NY 12033-1345
(518) 221-8745
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
674169-01
NY
Other
Enumeration date
03/17/2025
Last updated
08/03/2025
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