Individual
KYMBERLYNN CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 BAY 32ND PLACE, 2ND FLOOR, QUEENS, NY 11691
(201) 397-0688
Mailing address
1116 BAY 32ND PL, FAR ROCKAWAY, NY 11691-1720
(201) 397-0688
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
788245
NY
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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