Kelly Bush

NPI #1730550724 in Phoenix, New York

Provider Information

NPI Number
1730550724
Entity Type
Individual
Name
Kelly Bush
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 15, 2015
Last Updated
Oct 15, 2015

Practice Location

Address
528 MAIN ST
ZIP Code
13135-2056
Phone
(315) 341-8923

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse
Home Health

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