Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLIE ANN CONNELLY, RETAIL PROVIDER
Deactivated Sole ProprietorMS. KELLIE ANN CONNELLY, RETAIL PROVIDER is a Durable Medical Equipment & Medical Supplies healthcare provider located in ALTAMONT, New York. NPI 1104419209 is deactivated in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · ALTAMONT, NY
This NPI has been deactivated.
The record was deactivated on August 17, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104419209
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2021 (1.4904109589041 yrs)
- Last Updated
- Sep 12, 2022
- Deactivated
- Aug 17, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
798 MEADOWDALE RDALTAMONT, NY, 120094710Browse NY providers · Browse ZIP 12009
- Phone
- 5188588129
- Fax
- 5188616840
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.