National Provider Identifier

Kelly Ann Blackmon, NP

Kelly Ann Blackmon, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Olean, NY and a listed phone number of (716) 372-0141.

NPI 1346471851Olean, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1346471851
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
July 31, 2009
Last Updated
February 16, 2026

Practice Location

  • 535 Main St
  • Olean, NY 14760-1500

Phone: (716) 372-0141

Mailing Address

  • 515 Main St
  • Olean, NY 14760-1598

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1346471851
Entity Type
Individual
Last Name
Blackmon
First Name
Kelly
Middle Name
Ann
Credential
NP
Provider Other Last Name
Rice
Provider Other First Name
Kelly
Provider Other Middle Name
Ann
Provider Other Credential Text
NP
Provider Other Last Name Type Code
1
Mailing Street Address
515 Main St
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1598
Mailing Country
US
Mailing Phone
(716) 372-2600
Practice Street Address
535 Main St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1500
Practice Country
US
Practice Phone
(716) 372-0141
Practice Fax
(716) 376-2225
Enumeration Date
July 31, 2009
Last Updated
February 16, 2026
Sex
Female
Sole Proprietor
No
Certification Date
February 16, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Adult Health Nurse Practitioner (363LA2200X)