Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Wilmarth, C-FNP

Individual provider Nurse Practitioner · NPI 1588072474

Kelly Wilmarth, C-FNP is a Nurse Practitioner in Johnson City, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

401 Main St Ste 1
Johnson City, NY 13790-2065
Phone: (607) 754-9870
Fax: (607) 785-9862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 338979 (NY)

Record details

NPI number1588072474
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-FNP
Sole proprietorYes
NPI enumeratedJuly 24, 2014
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

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