MS. Kellie Ann Connelly, RETAILPROVIDER
MS. Kellie Ann Connelly, RETAILPROVIDER is a Durable Medical Equipment & Medical Supplies in Altamont, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
798 Meadowdale RdAltamont, NY 12009-4710
Phone: (518) 858-8129
Fax: (518) 861-6840
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1104419209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RETAILPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2021 |
| Last updated in NPPES | September 12, 2022 |
| Certification date | September 12, 2022 |
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