Angie E Kilburn, NP Adult Health
Family Medicine, Adult Medicine in Queensbury, NY. Individual provider (NPI-1).
NPI number1164050308
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1164050308
- Entity type
- Individual (NPI-1)
- Name
- Angie E Kilburn
- Credential
- NP Adult Health
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2020
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | F310837-01 | NY | Yes |
Practice location
375 Bay Rd Ste 1Queensbury, NY 12804-3012
Phone 518-932-7234
Mailing address
147 James RdSalem, NY 12865-5030
Phone 518-414-8322
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