Kloch, Kelli

Kloch, Kelli is an individual health care provider with primary practice located at 139 Fairbanks Rd , Churchville NY 14428-9782. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Kloch, Kelli can be contacted via phone (585) 293-1800.

Contact Information

Primary practice address
139 Fairbanks Rd Churchville NY 14428-9782
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 22541647 New York

Profile Details

NPI number 1639615552
LBN Legal business name Kloch, Kelli
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2017
Last updated Jan 17th, 2017 - about 8 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 1639615552 NPPES
New York MEDICAID 22541647

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