Individual provider · Type 1 NPI
Kerri L. Pellam
Adult Health Nurse Practitioner · Watertown, NY
NPI number
1295528081
Active
Practice location
830 Washington St
Watertown, NY 13601-4034
Mailing address
7485 Hodge Rd
Lowville, NY 13367-2332
Other practice locations
- 1 Penn Plz Fl 8, New York, NY 10119-0899 · (315) 709-9065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 357284 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 357284 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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- Katherine Emily Matas, PhD, APRN, BCAdult Health Nurse Practitioner Watertown, NY NPI 1609936970
About NPI 1295528081
Kerri L. Pellam's National Provider Identifier is 1295528081, issued on May 26, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Watertown, NY. The record was last updated on Jul 9, 2025.