MS. Connie Diane Kelly, NURSE PRACTITIONER

NPI #1760609382 in Sidney, New York

Provider Information

NPI Number
1760609382
Entity Type
Individual
Name
MS. Connie Diane Kelly, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NURSE PRACTITIONER
Enumeration Date
Apr 18, 2007
Last Updated
Oct 23, 2008

Practice Location

Address
39 PEARL ST W
City
Sidney
ZIP Code
13838-1330
Phone
(252) 354-7622

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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