Kellie Provo
Pharmacist
900 Holt Rd, Webster
New York, 14580-9102
585-872-0880 585-872-3019
Kellie Provo is a pharmacist in Webster, New York. Patients can reach her at 900 Holt Rd, Webster or contact her on 585-872-0880. Active license number of Kellie Provo is 046792 for Pharmacist in New York.
Kellie Provo is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Kellie Provo speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Kellie Provo |
| Specialization: | Pharmacist |
| Gender: | Female |
| Location: | 900 Holt Rd, Webster,
New York, 14580-9102 |
| Phone: | 585-872-0880 |
| Fax: | 585-872-3019 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Kellie Provo are as mentioned below.
| NPI Number: | 1891018305 |
| NPI Enumeration Date: | 11 Mar, 2010 |
| NPI Last Update On: | 11 Mar, 2010 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Provo are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 046792 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kellie Provo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 046792 | Other | New York | Pharmacist License # |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 900 Holt Rd,
Webster, New York |
| Zip: | 14580-9102 |
| Phone Number: | 585-872-0880 |
| Fax Number: | 585-872-3019 |
Patients can reach Kellie Provo at
900 Holt Rd, Webster, New York or can
call on phone at 585-872-0880.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.