Conti, Kelly Rae
Conti, Kelly Rae is an sole proprietor health care provider with primary practice located at 67 Ohayo Mountain Rd , Woodstock NY 12498-1441. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Conti, Kelly Rae can be contacted via phone (845) 679-4630.Contact Information
Primary practice address
67 Ohayo Mountain Rd
Woodstock NY 12498-1441
Phone: (845) 679-4630
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 263602-1 | New York |
Profile Details
NPI number | 1124178371 |
---|---|
LBN Legal business name | Conti, Kelly Rae |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124178371 | NPPES |
New York | MEDICAID | 02670184 |
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