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Individual
MS. KIMBERLY DOMINIQUE MCCORMICK
Active
Individual
MS. KIMBERLY DOMINIQUE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
890852
NY
164W00000X
Licensed Practical Nurse
3327211
NY
Other
Enumeration date
09/24/2018
Last updated
06/03/2024
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