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Kelly C Courtney

Registered Nurse in Bloomfield, NY. Individual provider (NPI-1).

NPI number1144944919
StatusActive
Last updated in NPPESJul 2, 2024

Details

NPI
1144944919
Entity type
Individual (NPI-1)
Name
Kelly C Courtney
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 26, 2022
Certification date
Jul 2, 2024
Last updated
Jul 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse400328-1NYYes

Practice location

2760 Wheeler Station Rd
Bloomfield, NY 14469-9326

Phone 585-750-8638

Mailing address

2760 Wheeler Station Rd
Bloomfield, NY 14469-9326

Phone 585-750-8638

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