Individual
KIMBERLEY A BETKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6279 SOUTH HORNELL RD, HORNELL, NY 14843-9030
(607) 661-4800
(607) 661-4799
Mailing address
6279 SOUTH HORNELL RD, HORNELL, NY 14843-9030
(607) 661-4800
(607) 661-4799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331172-1
NY
363LF0000X
Family Nurse Practitioner
331172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01790183
—
NY
Enumeration date
05/25/2006
Last updated
06/29/2023
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