Individual
KELLYNE FONROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD STE 201, MELVILLE, NY 11747-4833
(888) 722-2072
Mailing address
265 BROADHOLLOW RD STE 201, MELVILLE, NY 11747-4833
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
62150401
NY
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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