Individual
MS. JEAN ELIZABETH KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 RAILROAD AVE, MIDDLETOWN, NY 10940-4907
(845) 342-5941
Mailing address
7 RAILROAD AVE, MIDDLETOWN, NY 10940-4907
(845) 342-5941
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
618011
NY
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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