Individual
KELLY ANNE ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1645
(607) 763-6092
Mailing address
93 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1645
(607) 763-6092
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011166
NY
Other
Enumeration date
09/13/2018
Last updated
11/30/2022
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