Kellyjo G Angell, LPN is a
Licensed Practical Nurse based in Truxton, New York. Kellyjo G Angell is licensed to practice in New York (license number 294888-1) and her current practice location is
5239 Randall Hill Rd, Truxton, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 842-6419.
NPI number for Kellyjo G Angell is 1639415821 and her current mailing address is 5239 Cuyler Hill Road, Truxton, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639415821.
Provider's Profile
| Full Name | Kellyjo G Angell |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 5239 Randall Hill Rd, Truxton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639415821
- Provider Enumeration Date: 12/17/2012
- Last Update Date: 12/17/2012
Medical Identifiers
Medical identifiers for Kellyjo G Angell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639415821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 294888-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellyjo G Angell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kellyjo G Angell, LPN
5239 Cuyler Hill Road,
Truxton, NY 13158
Ph: (607) 842-6419 | Kellyjo G Angell, LPN
5239 Randall Hill Rd,
Truxton, NY 13158-4208
Ph: (607) 842-6419 |
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