Daniels, Kelly

Daniels, Kelly is an individual health care provider with primary practice located at 2340 Brighton Henrietta Town Line Rd Ste 13 , Rochester NY 14623-2679. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Daniels, Kelly can be contacted via phone (585) 806-5666.

Contact Information

Primary practice address
2340 Brighton Henrietta Town Line Rd Ste 13 Rochester NY 14623-2679
Phone: (585) 806-5666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X New York

Profile Details

NPI number 1700539822
LBN Legal business name Daniels, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2022
Last updated Jan 29th, 2022 - about 4 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 1700539822 NPPES
New York MEDICAID 04787793

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