Mckelvey, Mary Lou

Mckelvey, Mary Lou is an individual health care provider with primary practice located at 2350 Route 63 , Wayland NY 14572-9509. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mckelvey, Mary Lou can be contacted via phone (585) 728-2091.

Contact Information

Primary practice address
2350 Route 63 Wayland NY 14572-9509
Phone: (585) 728-2091
Fax: (585) 728-5658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 223305221 New York

Profile Details

NPI number 1104195478
LBN Legal business name Mckelvey, Mary Lou
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2011
Last updated Dec 15th, 2011 - about 13 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 1104195478 NPPES
New York MEDICAID 166002121

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