National Provider Identifier

Kellie Elizabeth Degraff, LPN

Kellie Elizabeth Degraff, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in E Rochester, NY and a listed phone number of (585) 381-2554.

NPI 1417293424E Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1417293424
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 19, 2012
Last Updated
December 19, 2012

Practice Location

  • 405 W Elm St
  • E Rochester, NY 14445-2228

Phone: (585) 381-2554

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417293424
Entity Type
Individual
Last Name
Degraff
First Name
Kellie
Middle Name
Elizabeth
Credential
LPN
Mailing Street Address
405 W Elm St
Mailing City
E Rochester
Mailing State
NY
Mailing ZIP Code
14445-2228
Mailing Country
US
Mailing Phone
(585) 381-2554
Practice Street Address
405 W Elm St
Practice City
E Rochester
Practice State
NY
Practice ZIP Code
14445-2228
Practice Country
US
Practice Phone
(585) 381-2554
Enumeration Date
December 19, 2012
Last Updated
December 19, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)