MRS. KELLY ANN SERVELLO OTR
NPI 1912217027
Specialist in Ilion, NY

Q: What is Kelly Servello's NPI number?

The NPI number for Kelly Servello is 1912217027. It was assigned to this individual provider in the NPPES registry on October 8, 2010.

Q: What is Kelly Servello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Servello was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 08, 2010

63 S 5TH AVE, ILION, NY 13357(315) 717-7442(315) 895-0062 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kelly Ann Servello Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY ANN SERVELLO OTR (NPI 1912217027) is an individual specialist in Ilion, New York, licensed in New York (009449-1) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1912217027

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. KELLY ANN SERVELLOCredential: OTR

Location Address63 S 5TH AVEIlion, NY 13357-2017

Mailing Address63 S 5th AveIlion, NY 13357-2017 · (315) 717-7442 · Fax (315) 895-0062

Phone(315) 717-7442

Fax(315) 895-0062

Sole ProprietorYes

Enumeration DateOctober 8, 2010

✔ NPI 1912217027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 009449-1

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

63 S 5TH AVE, Ilion, NY 13357

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Servello's NPI number?

The NPI number for Kelly Servello is 1912217027. It was assigned to this individual provider in the NPPES registry on October 8, 2010.

Where is Kelly Servello located?

Kelly Servello practices at 63 S 5th Ave, Ilion, NY 13357. The listed phone number is (315) 717-7442.

What is Kelly Servello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Servello was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.