Most Relevant Information
Provider Data
| NPI Number: | 1003348814 |
| Provider Name: | KELLIE WEST |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 328394 |
Most Important Dates
| Enumeration Date: | 03/30/2017 |
| Last Updated: | 03/30/2017 |
Provider Practice Location
32 HARPER PKWY
AVON
NY
144149568
Practice Location Phone/Fax
| Phone: | 5859912494 |
| Fax: |
Provider Mailing Location
32 HARPER PKWY
AVON
NY
144149568
Provider Mailing Phone/Fax
| Phone: | 5859912494 |
| Fax: |