Kellie Connelly, RETAIL PROVIDER

InactiveIndividual ProviderSpecialty not listed
NPI issued: February 19, 2021

Quick Facts

NPI Number
1104419209
TypeIndividual
StatusInactive
SpecialtySpecialty not listed
Taxonomy332B00000X — Specialty not listed
Phone
(518) 858-8129
StateNY

NPI Validation Status: Deactivated

Valid 10-digit NPI number (1104419209)
Active status: Deactivated / Inactive
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (February 19, 2021)
Data source: CMS NPPES

Provider Overview

KELLIE CONNELLY, RETAIL PROVIDER is a Healthcare provider based in Altamont, NY who has been registered with CMS since 2021. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1104419209
Provider TypeIndividual Provider
GenderFemale
CredentialRETAIL PROVIDER
StatusInactive
Enumeration DateFebruary 19, 2021

Practice Location

CityAltamont
StateNY
ZIP Code12009-4710
Phone(518) 858-8129

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code332B00000X
License StateNY

Mailing Address

CityAltamont
StateNY
ZIP Code12009-4710
Phone(518) 858-8129
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104419209 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104419209for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104419209 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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90,176
Specialty not listed Providers in the US

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People Also Ask

What is Kellie Connelly's NPI number?
Kellie Connelly's NPI number is 1104419209, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kellie Connelly's NPI currently active?
No, Kellie Connelly's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Kellie Connelly specialize in?
Kellie Connelly specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 332B00000X.
Where does Kellie Connelly practice?
Kellie Connelly practices in Altamont, NY 12009-4710.
When was Kellie Connelly's NPI issued?
Kellie Connelly's NPI was issued on February 19, 2021.
What is Kellie Connelly's provider type?
Kellie Connelly is registered as an Individual Provider under CMS NPI Type 1.