National Provider Identifier
Kelly L Eldredge
Kelly L Eldredge is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 396-1602.
Profile Overview
- NPI
- 1760541619
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 07, 2006
- Last Updated
- July 08, 2007
Practice Location
- 5151 W Lake RD
- Canandaigua, NY 14424-8953
Phone: (585) 396-1602
Mailing Address
- 6368 Murphy Dr
- Victor, NY 14564-9204
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1760541619
- Entity Type
- Individual
- Last Name
- Eldredge
- First Name
- Kelly
- Middle Name
- L
- Name Prefix
- Mrs.
- Mailing Street Address
- 6368 Murphy Dr
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9204
- Mailing Country
- US
- Mailing Phone
- (585) 924-8137
- Practice Street Address
- 5151 W Lake RD
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-8953
- Practice Country
- US
- Practice Phone
- (585) 396-1602
- Enumeration Date
- December 07, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02601210 (NY)