Evans, Kelly Lorraine

Evans, Kelly Lorraine is an sole proprietor health care provider with primary practice located at 1540 Glenwood Ave , Syracuse NY 13207-1011. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Evans, Kelly Lorraine can be contacted via phone (315) 476-1771.

Contact Information

Primary practice address
1540 Glenwood Ave Syracuse NY 13207-1011
Phone: (315) 476-1771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 495840-1 New York

Profile Details

NPI number 1326297482
LBN Legal business name Evans, Kelly Lorraine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2008
Last updated Sep 14th, 2008 - about 16 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 1326297482 NPPES
New York MEDICAID 02701884

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