Individual
KATHLEEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 MIDDLESEX RD, BUFFALO, NY 14216-3140
(716) 572-3379
Mailing address
1924 MARJORIE RD, GRAND ISLAND, NY 14072-2616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
424492-1
NY
163WH0200X
Home Health Registered Nurse
Primary
424492-1
NY
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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