National Provider Identifier

Kelly Beck

Kelly Beck is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Williamson, NY and a listed phone number of (585) 409-8027.

NPI 1407206428Williamson, NYLicensed Practical Nurse

Profile Overview

NPI
1407206428
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 21, 2016
Last Updated
June 21, 2016

Practice Location

  • 3842 Mystic Meadows Ln
  • Williamson, NY 14589-9549

Phone: (585) 409-8027

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1407206428
Entity Type
Individual
Last Name
Beck
First Name
Kelly
Mailing Street Address
3842 Mystic Meadows Ln
Mailing City
Williamson
Mailing State
NY
Mailing ZIP Code
14589-9549
Mailing Country
US
Mailing Phone
(585) 409-8027
Practice Street Address
3842 Mystic Meadows Ln
Practice City
Williamson
Practice State
NY
Practice ZIP Code
14589-9549
Practice Country
US
Practice Phone
(585) 409-8027
Enumeration Date
June 21, 2016
Last Updated
June 21, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
30 (NY)