Provider Demographics
NPI:1558119917
Name:CAIONE, KELLY ANNE (RN)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ANNE
Last Name:CAIONE
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 1:1461 CROSS HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-1706
Mailing Address - Country:US
Mailing Address - Phone:203-581-4032
Mailing Address - Fax:
Practice Address - Street 1:1563 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5602
Practice Address - Country:US
Practice Address - Phone:203-319-3939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT204036163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse