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SHERRI SUE KELLY LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1477165017

Individual Registrant:
 SHERRI SUE KELLY LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
4214 KELLY LN  BURDETT, NY 14818-9805 US
Tel: 607-351-4265  Fax: --

Contact information for business:
4214 KELLY LN  BURDETT, NY 14818-9805 US
Tel: --  Fax: --

Registration Information:
NPI: 1477165017
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N164W00000XNursing Service Providers
Licensed Practical Nurse
NY231570
Y164W00000XNursing Service Providers
Licensed Practical Nurse
NY231570-01

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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