| NPI Details | |
|---|---|
| NPI | 1710164306 |
| Gender | Female |
| Enumeration Date | 01/25/2008 |
| Last Updated | 01/25/2008 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 1680 WALDEN AVE CHEEKTOWAGA NY, 14225-4914, US |
|
| Phone | (716) 894-7777 |
| Fax | (716) 894-0604 |
| Business Location | |
|---|---|
| 152 W MAIN ST FREWSBURG NY, 14738-9633, US |
|
| Phone | (716) 607-7283 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 164W00000X |
| License State | New York |
| License Number | 272067 |
| Remove 1710164306 NPI Number | |
According to our database, Kelly Thompson LPN NPI is 1710164306, taxonomy code is 164W00000X and license number is 272067, license state is located at New York. Kelly Thompson LPN physically located at 1680 Walden Ave, Cheektowaga NY, 14225-4914. NPI Number Kelly Thompson LPN has the Individual type.
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1710164306 NPI number is provided on an as is basis without warranty of any kind. 1710164306 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Thompson LPN are for informational purposes only.
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