Provider Demographics
NPI:1952114837
Name:KOLMEL, ANNIE
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:KOLMEL
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 1:3375 PECK HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:PA
Mailing Address - Zip Code:18837-8201
Mailing Address - Country:US
Mailing Address - Phone:607-765-2502
Mailing Address - Fax:
Practice Address - Street 1:2499 VALLEY RD
Practice Address - Street 2:
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-7051
Practice Address - Country:US
Practice Address - Phone:607-687-9667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY807042163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse