Individual
KELLY M INGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
693 STATE HIGHWAY 51, GILBERTSVILLE, NY 13776-1104
(607) 783-2207
(607) 783-2254
Mailing address
693 STATE HIGHWAY 51, GILBERTSVILLE, NY 13776-1104
(607) 783-2207
(607) 783-2254
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
632321
NY
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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