National Provider Identifier
Kelly Blair Raniewicz
Kelly Blair Raniewicz is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-8165.
Profile Overview
- NPI
- 1871270371
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 28, 2023
- Last Updated
- May 07, 2025
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1676
Phone: (607) 737-8165
Mailing Address
- 600 Ivy St Ste 206
- Elmira, NY 14905-1627
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1871270371
- Entity Type
- Individual
- Last Name
- Raniewicz
- First Name
- Kelly
- Middle Name
- Blair
- Provider Other Last Name
- Jacobs
- Provider Other First Name
- Kelly
- Provider Other Middle Name
- Blair
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 600 Ivy St Ste 206
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1627
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2071
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1676
- Practice Country
- US
- Practice Phone
- (607) 737-8165
- Practice Fax
- (607) 737-8175
- Enumeration Date
- June 28, 2023
- Last Updated
- May 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)