Individual
JOYCE A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1 HAWLEY ST, BINGHAMTON, NY 13901-3102
(607) 778-1109
(607) 778-1164
Mailing address
312 WYOK RD, JOHNSON CITY, NY 13790-4227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02249154
—
NY
Enumeration date
07/10/2006
Last updated
07/08/2007
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