Kmc Nurse Practitioner In Adult Health PLLC
Nurse Practitioner, Adult Health in Clarence, NY. Organization (NPI-2).
NPI number1295570034
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1295570034
- Entity type
- Organization (NPI-2)
- Legal business name
- Kmc Nurse Practitioner In Adult Health PLLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Practice location
9097 Main StClarence, NY 14031-1965
Phone 716-759-4938 · Fax 716-759-4939
Mailing address
9097 Main StClarence, NY 14031-1965
Phone 716-759-4938 · Fax 716-759-4939
Other practice locations
10175 Niagara Falls Blvd Ste 1
Niagara Falls, NY 14304-2941
Niagara Falls, NY 14304-2941
Phone 716-759-4938 · Fax 716-759-4939
Authorized official
Kym Cannizzaro
Owner/NP
7167594938
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