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Kelly Walthour
Student in an Organized Health Care Education/Training Program in Coram, New York
NPI 1710528161

Kelly Walthour is a Student in an Organized Health Care Education/Training Program based in Coram, NY. Kelly Walthour practices in Coram, NY. The NPI Number for Kelly Walthour is 1710528161 and holds a License No. (New York).

The current practice location address for Kelly Walthour is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8558.

Location: 3600 Route 112, Coram, NY, 11727-4116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710528161
Provider Name
Kelly Walthour
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11727-4116
Phone Number
631-920-8558
Fax Number
Provider Enumeration Date
10/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8558
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8558
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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