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Individual

KELLEY GOMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
Mailing address
2573 MOORE RD, RANSOMVILLE, NY 14131-9729
(716) 278-4000

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
389919
NY

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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