Killikelly, Coretta E
Killikelly, Coretta E is an sole proprietor health care provider with primary practice located at 125 Wolf Rd Ste 101 , Albany NY 12205-1221. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Killikelly, Coretta E can be contacted via phone (518) 334-2254.Contact Information
Primary practice address
125 Wolf Rd Ste 101
Albany NY 12205-1221
Phone: (518) 334-2254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | ||
| Nursing Service Providers / Registered Nurse | 163W00000X | 529069 | New York |
Profile Details
| NPI number | 1639725518 |
|---|---|
| LBN Legal business name | Killikelly, Coretta E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2019 |
| Last updated | Aug 15th, 2019 - about 7 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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