National Provider Identifier
Kelli Marie Conklin
Kelli Marie Conklin is listed in the NPPES registry with a primary specialty of Chore Provider in Frewsburg, NY and a listed phone number of (716) 467-2398.
Profile Overview
- NPI
- 1811399348
- Provider Type
- Individual
- Primary Specialty
- Chore Provider
- Enumeration Date
- September 16, 2014
- Last Updated
- September 16, 2014
Practice Location
- 449 Ivory RD
- Frewsburg, NY 14738-9724
Phone: (716) 467-2398
Mailing Address
- 449 Ivory RD
- Frewsburg, NY 14738
Specialties
- Chore Provider (372500000X)
Full Record
- NPI
- 1811399348
- Entity Type
- Individual
- Last Name
- Conklin
- First Name
- Kelli
- Middle Name
- Marie
- Provider Other Last Name
- Satterfield
- Provider Other First Name
- Kelli
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 449 Ivory RD
- Mailing City
- Frewsburg
- Mailing State
- NY
- Mailing ZIP Code
- 14738
- Mailing Country
- US
- Mailing Phone
- (716) 467-2398
- Practice Street Address
- 449 Ivory RD
- Practice City
- Frewsburg
- Practice State
- NY
- Practice ZIP Code
- 14738-9724
- Practice Country
- US
- Practice Phone
- (716) 467-2398
- Enumeration Date
- September 16, 2014
- Last Updated
- September 16, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chore Provider (372500000X)