Individual
KELLY M HOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
614 COOPER HILL RD, WYNANTSKILL, NY 12198-2906
(518) 283-6500
(518) 283-0524
Mailing address
118 VERMONT VIEW DR, WATERVLIET, NY 12189-1040
(518) 986-6118
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
604797
NY
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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