Provider Demographics
NPI:1972490159
Name:SEITZ, KALI M
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:M
Last Name:SEITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7684 TOAD HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14755-9773
Mailing Address - Country:US
Mailing Address - Phone:716-229-1716
Mailing Address - Fax:
Practice Address - Street 1:5873 ROUTE 219 S
Practice Address - Street 2:
Practice Address - City:ELLICOTTVILLE
Practice Address - State:NY
Practice Address - Zip Code:14731-9720
Practice Address - Country:US
Practice Address - Phone:716-699-2316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333187164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty