Provider Demographics
NPI:1790478394
Name:VELEZ-DOLAN, KAYLEE OLIVIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAYLEE
Middle Name:OLIVIA
Last Name:VELEZ-DOLAN
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 1:491 TITUS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:12093-2705
Mailing Address - Country:US
Mailing Address - Phone:845-665-3632
Mailing Address - Fax:
Practice Address - Street 1:491 TITUS LAKE RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:12093-2705
Practice Address - Country:US
Practice Address - Phone:607-201-5509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY854024163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse