Individual
KELLY LEE DROLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3384 STATE ROUTE 22 STE 3, PERU, NY 12972-5305
(518) 643-8008
(518) 643-8090
Mailing address
4400 VESTAL PKWY E, BINGHAMTON, NY 13902-4601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
347881
NY
363L00000X
Nurse Practitioner
F347881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
773557
NEW YORK STATE
NY
Enumeration date
03/11/2020
Last updated
03/31/2023
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