Individual
KELLY CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2707 COURT ST, SYRACUSE, NY 13208-3234
(315) 455-7571
(315) 455-7573
Mailing address
2707 COURT ST, SYRACUSE, NY 13208-3234
(315) 455-7571
(315) 455-7573
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
342989-1
NY
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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