| Doctor Name: | KELLI CHRISTINE VANINI |
| NPI Number: | 1194098780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | 473195-1 |
| Business Practice Address: | 987 R C Hoag Dr Salamanca, NY - 147791365 |
| Business Phone Number: | 7169455894 |
| Business Fax Number: | 7169451983 |
| Mailing Address: | 987 R C Hoag Dr, SALAMANCA |
| State: | NY |
| Postal Code: | 147791365 |
| Phone Number: | 7169455894 |
| Fax Number: | 7169451983 |
| NPI Enumeration Date: | 02/14/2012 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 473195-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |