Individual
MISS MAXINE CORRINE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8 DILL ST, AUBURN, NY 13021-3606
(315) 253-1456
Mailing address
3965 COYE RD, JAMESVILLE, NY 13078-9780
(315) 469-7235
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
531166001
NY
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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