Colvin, Kelly Ann

Colvin, Kelly Ann is an sole proprietor health care provider with primary practice located at 1556 Schoolheimer Rd , Canastota NY 13032-4095. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Colvin, Kelly Ann can be contacted via phone (315) 361-4579.

Contact Information

Primary practice address
1556 Schoolheimer Rd Canastota NY 13032-4095
Phone: (315) 361-4579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 250696-1 New York

Profile Details

NPI number 1639385032
LBN Legal business name Colvin, Kelly Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639385032 NPPES
New York MEDICAID 02006724

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