Provider Demographics
NPI:1477277499
Name:CAPECE ALGER, KELLSIE MARIE
Entity Type:Individual
Prefix:
First Name:KELLSIE
Middle Name:MARIE
Last Name:CAPECE ALGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OAKHILL AVE
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-2520
Mailing Address - Country:US
Mailing Address - Phone:508-617-6494
Mailing Address - Fax:
Practice Address - Street 1:3 OAKHILL AVE
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-2520
Practice Address - Country:US
Practice Address - Phone:508-617-6494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN236716163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health