Individual
CHRISTIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8561 SNOWSHOE TRL, CICERO, NY 13039-8874
(315) 391-3023
Mailing address
8561 SNOWSHOE TRL, CICERO, NY 13039-8874
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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