Individual
KATHLEEN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CORPORATE BOULAVERD, NEWBURGH, NY 12550
(845) 337-9007
Mailing address
700 CORPORATE BOULAVERD, NEWBURGH, NY 12550
(845) 337-9007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
272398
NY
163WH0200X
Home Health Registered Nurse
Primary
272398
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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