Provider Demographics
NPI:1184956831
Name:KALKOWSKI, KELI VERLEE (RN)
Entity type:Individual
Prefix:MRS
First Name:KELI
Middle Name:VERLEE
Last Name:KALKOWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KELI
Other - Middle Name:VERLEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 DOGWOOD LANE
Mailing Address - Street 2:PO BOX 268
Mailing Address - City:CONNOQUENESSING
Mailing Address - State:PA
Mailing Address - Zip Code:16027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 SAINT FRANCIS WAY
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-5119
Practice Address - Country:US
Practice Address - Phone:724-772-5310
Practice Address - Fax:724-772-5317
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN562464163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency