Individual provider · NPI-1

Kelly Daniels

Driver · Rochester, NY

NPI number1700539822
StatusActive
Last updated in NPPESJan 29, 2022

Details

NPI
1700539822
Entity type
Individual (NPI-1)
Name
Kelly Daniels
Sex
Female
Sole proprietor
No
Enumeration date
Jan 29, 2022
Certification date
Jan 28, 2022
Last updated
Jan 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver–NYYes

Practice location

2340 Brighton Henrietta Town Line Rd Ste 13
Rochester, NY 14623-2679

Phone 585-806-5666

Mailing address

Po Box 90885
Rochester, NY 14609-0885

Phone 585-295-3809

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