National Provider Identifier
Moira Khettry, LMSW
Moira Khettry, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Bath, NY and a listed phone number of (716) 904-2309.
Profile Overview
- NPI
- 1194596585
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- January 15, 2024
- Last Updated
- January 15, 2024
Practice Location
- 76 Veterans Ave
- Bath, NY 14810-0810
Phone: (716) 904-2309
Mailing Address
- 629 Main St
- Olean, NY 14760-1539
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1194596585
- Entity Type
- Individual
- Last Name
- Khettry
- First Name
- Moira
- Credential
- LMSW
- Mailing Street Address
- 629 Main St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1539
- Mailing Country
- US
- Mailing Phone
- (716) 904-2309
- Practice Street Address
- 76 Veterans Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-0810
- Practice Country
- US
- Practice Phone
- (716) 904-2309
- Enumeration Date
- January 15, 2024
- Last Updated
- January 15, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)