| NPI Details | |
|---|---|
| NPI | 1770818122 |
| Gender | Female |
| Enumeration Date | 10/02/2009 |
| Last Updated | 10/02/2009 |
| Entity Type | Individual |
| Active | Over 7 years ago |
| Practice Location | |
|---|---|
| 21 BERRY DR QUEENSBURY NY, 12804-7790, US |
|
| Phone | (518) 812-0017 |
| Fax | |
| Business Location | |
|---|---|
| 32 2ND ST GLENS FALLS NY, 12801-4237, US |
|
| Phone | (518) 796-7965 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 164W00000X |
| License State | New York |
| License Number | 298657 |
| Remove 1770818122 NPI Number | |
According to our database, Kelly Ann Mcquain LPN NPI is 1770818122, taxonomy code is 164W00000X and license number is 298657, license state is located at New York. Kelly Ann Mcquain LPN physically located at 21 Berry Dr, Queensbury NY, 12804-7790. NPI Number Kelly Ann Mcquain LPN has the Individual type.
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1770818122 NPI number is provided on an as is basis without warranty of any kind. 1770818122 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ann Mcquain LPN are for informational purposes only.
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