Provider Demographics
NPI:1871855338
Name:AURIEMMO, KELLY M (MSED)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:M
Last Name:AURIEMMO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ALFRED DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-5415
Mailing Address - Country:US
Mailing Address - Phone:845-462-2444
Mailing Address - Fax:845-462-2444
Practice Address - Street 1:6 ALFRED DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-5415
Practice Address - Country:US
Practice Address - Phone:845-462-2444
Practice Address - Fax:845-462-2444
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist