Eleanore Smith Kellicutt, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Binghamton, NY

NPI

1417020207

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

330386 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2006-11-17

Last updated

2007-07-08