Individual
MRS. KATHLEEN ANNE CRIMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 RIDGE RD, HORSEHEADS, NY 14845-1705
(607) 739-6352
Mailing address
112 RIDGE RD, HORSEHEADS, NY 14845-1705
(607) 739-6352
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
340995
NY
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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