Individual
KORTNEE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 BEATTIE AVE, LOCKPORT, NY 14094-5023
(716) 478-4800
Mailing address
283 BEATTIE AVE APT 2, LOCKPORT, NY 14094-5642
(716) 803-0126
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
754884
NY
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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