Individual
MRS. KELLY LYNN LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6 WIERK AVE, LIBERTY, NY 12754-2117
(845) 295-4114
(845) 292-7910
Mailing address
6 WIERK AVE, LIBERTY, NY 12754-2117
(845) 295-4114
(845) 292-7910
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
591575
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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