Individual
MRS. KELLY EVELYN REKKERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
144 SQUAREVIEW LN, ROCHESTER, NY 14626-1868
(585) 698-8891
Mailing address
144 SQUAREVIEW LN, ROCHESTER, NY 14626-1868
(585) 698-8891
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
22616242
NY
163WH1000X
Hospice Registered Nurse
22616242
NY
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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