Individual
MRS. KELLY MEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3336 LINCOLN ST, PORT LEYDEN, NY 13433
(315) 348-2665
(315) 348-2661
Mailing address
3336 LINCOLN ST, PORT LEYDEN, NY 13433
(315) 348-2665
(315) 348-2661
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22556849
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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