Provider Demographics
NPI:1437427838
Name:KELWASKI, MARGARET L (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:L
Last Name:KELWASKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ERIE ST
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14757-9755
Mailing Address - Country:US
Mailing Address - Phone:716-753-5819
Mailing Address - Fax:716-753-5820
Practice Address - Street 1:100 N ERIE ST
Practice Address - Street 2:
Practice Address - City:MAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:14757-9755
Practice Address - Country:US
Practice Address - Phone:716-753-5819
Practice Address - Fax:716-753-5820
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22-242492163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse