NPI 1023659703

Shadae Keilia Kleckley

Practitioner Attendant Care Provider New City, NY

Practice location

Address: 19 Dixwell Road, New City, NY 10956
Phone: (917) 565-5207

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1023659703
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2019
Record last updated: 3 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.