Individual
MRS. ELEANORE SMITH KELLICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
BINGHAMTON UNIVERSITY, HEALTH SERVICE, VESTAL PKWY EAST, BINGHAMTON, NY 13902-6000
(607) 777-2221
(607) 777-2881
Mailing address
34 AIRPORT RD, BINGHAMTON, NY 13901-6000
(607) 648-2974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
330386
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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