Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Provo

Individual provider Pharmacist · NPI 1891018305

Kellie Provo is a Pharmacist in Webster, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

900 Holt Rd
Webster, NY 14580-9102
Phone: (585) 872-0880
Fax: (585) 872-3019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 046792 (NY)

Record details

NPI number1891018305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2010
Last updated in NPPESMarch 11, 2010
Mailing address900 Holt Rd, Webster, NY 14580-9102

Other providers in Webster