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SHERRI SUE KELLY LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1477165017
Individual Registrant: SHERRI SUE KELLY LPN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
4214 KELLY LN BURDETT, NY 14818-9805 US
Tel: 607-351-4265 Fax: --
Tel: 607-351-4265 Fax: --
Contact information for business:
4214 KELLY LN BURDETT, NY 14818-9805 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1477165017
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 164W00000X | Nursing Service Providers Licensed Practical Nurse | NY | 231570 |
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | NY | 231570-01 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
