Individual
KELLY MARIE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8700
Mailing address
6 COCOA LN, NEWBURGH, NY 12550-8818
(845) 522-6402
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
953367
NY
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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