Provider Demographics
NPI:1982328803
Name:HOWE, KELLI K (RN)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:K
Last Name:HOWE
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 1:89 MIDLAND DR
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1948
Mailing Address - Country:US
Mailing Address - Phone:607-334-1600
Mailing Address - Fax:
Practice Address - Street 1:89 MIDLAND DR
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1948
Practice Address - Country:US
Practice Address - Phone:607-334-1600
Practice Address - Fax:607-334-1666
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY400232163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool