Kellyann Marie Musco, RN – Registered Nurse

Key facts

NPI: 1114249604
Entity type: Individual (NPI type 1)
Primary specialty: Registered Nurse 163W00000X
License: 646048 (NY)
Practice address: 30 Galley Hill Rd
Cuddebackville, NY 12729-5204
Phone: (845) 754-8756
Fax: (845) 754-7141
NPI assigned: Feb 24, 2010
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

KDL Home Health Care Agency, Inc. Home Health Agency · Cuddebackville, NY · NPI 1700078326

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
646048	NY	MD	Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
KDL Home Health Care Agency, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	646048	NY	Yes
Licensed Practical Nurse	164W00000X	270219	NY

Addresses

Primary practice location

30 Galley Hill Rd
Cuddebackville, NY 12729-5204

Mailing address

30 Galley Hill Rd
Cuddebackville, NY 12729-5204
Phone (845) 754-8756

Other names

Ms. Kellyann Marie Dedes Former name

Other providers in Cuddebackville, NY

All providers in Cuddebackville, NY · Registered Nurse in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.