National Provider Identifier
Karissa Kelley Vancamp
Karissa Kelley Vancamp is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Phelps, NY and a listed phone number of (315) 719-1644.
Profile Overview
- NPI
- 1215400148
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 03, 2019
- Last Updated
- March 02, 2020
Practice Location
- 778 Fisher RD
- Phelps, NY 14532-9522
Phone: (315) 719-1644
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1215400148
- Entity Type
- Individual
- Last Name
- Vancamp
- First Name
- Karissa
- Middle Name
- Kelley
- Mailing Street Address
- 778 Fisher RD
- Mailing City
- Phelps
- Mailing State
- NY
- Mailing ZIP Code
- 14532-9522
- Mailing Country
- US
- Mailing Phone
- (315) 719-1644
- Practice Street Address
- 778 Fisher RD
- Practice City
- Phelps
- Practice State
- NY
- Practice ZIP Code
- 14532-9522
- Practice Country
- US
- Practice Phone
- (315) 719-1644
- Enumeration Date
- January 03, 2019
- Last Updated
- March 02, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 321976-1 (NY)