Individual
KELLEY R AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 RICKARD ST, APT H9, CORTLAND, NY 13045-1341
(607) 753-0053
Mailing address
44 RICKARD ST, APT H9, CORTLAND, NY 13045-1341
(607) 753-0053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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