Individual
KASANDRA LYNNE SCALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5162
(315) 464-4613
Mailing address
4763 NORSTAR BLVD, APT. 226, LIVERPOOL, NY 13088-4253
(517) 927-3878
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101260284
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2012
Last updated
12/03/2021
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