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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 6 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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