Individual
KELLY MCCOMBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
75 BROAD ST, NEW YORK, NY 10004-2415
(860) 404-3180
Mailing address
2423 THOMPSON RD, BLAIRSVILLE, PA 15717-5469
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015018
PA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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