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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1700539822 | NPPES |
| New York | MEDICAID | 04787793 |
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