Individual
BRENDA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 DILL ST, AUBURN, NY 13021-3606
(315) 253-1456
(315) 253-1156
Mailing address
8 DILL ST, AUBURN, NY 13021-3606
(315) 253-1456
(315) 253-1156
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
232041
NY
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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