Individual
ELIZABETH J KELTERBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
135 N UNION ST, OLEAN, NY 14760-2736
(176) 375-7500
(716) 806-1287
Mailing address
834 NORTH UNION STREET, OLEAN, NY 14760
(347) 891-1304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009698
KY
363L00000X
Nurse Practitioner
Primary
F341652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04757282
—
NY
05
—
7100383990
—
KY
01
—
J40038433
MEDICARE
NY
01
—
P01571407
RAILROAD MEDICARE (KOHMG)
KY
Enumeration date
09/21/2015
Last updated
07/21/2022
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