Individual
MS. CONNIE DIANE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
39 PEARL ST W, SIDNEY, NY 13838-1330
(252) 354-7622
Mailing address
1937 GIBSON HILL RD, FRANKLIN, NY 13775-4425
(607) 287-8668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332008-1
NY
Other
Enumeration date
04/18/2007
Last updated
10/23/2008
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