MS. Kellie Ann Connelly, RETAIL PROVIDER

NPI #1104419209 in Altamont, New York

Provider Information

NPI Number: 1104419209
Entity Type: Individual
Name: MS. Kellie Ann Connelly, RETAIL PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Durable Medical Equipment & Medical Supplies
Credential: RETAIL PROVIDER
Enumeration Date: Feb 19, 2021
Last Updated: Sep 12, 2022

Practice Location

Address: 798 MEADOWDALE RD
City: Altamont
State: New York
ZIP Code: 12009-4710
Phone: (518) 858-8129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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