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Individual

CORETTA E KILLIKELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 STEUBEN PL, ALBANY, NY 12207-2107
(518) 334-2254
Mailing address
PO BOX 38077, ALBANY, NY 12203-8077
(518) 334-2254

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
529069
NY
174H00000X
Health Educator

Other

Enumeration date
08/15/2019
Last updated
12/16/2025
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