Individual
CARRIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
179 COUNTY ROUTE 64, MEXICO, NY 13114-4219
(315) 236-6262
Mailing address
PO BOX 104, PARISH, NY 13131-0104
(315) 236-6262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
966663
NY
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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