Individual
KELLY ANN LINDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9530 BREWERTON RD, BREWERTON, NY 13029-9788
(315) 668-4202
(315) 668-8175
Mailing address
9530 BREWERTON RD, BREWERTON, NY 13029-9788
(315) 668-4202
(315) 668-8175
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
417184
NY
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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