Mccracken, Kellie

Mccracken, Kellie is an individual health care provider with primary practice located at 81 Lake Avenue , Rochester NY 14608. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mccracken, Kellie can be contacted via phone (585) 368-6901.

Contact Information

Primary practice address
81 Lake Avenue Rochester NY 14608
Fax: (585) 546-5806
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 554297 New York

Profile Details

NPI number 1013464411
LBN Legal business name Mccracken, Kellie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2016
Last updated Sep 2nd, 2016 - 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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