Individual
KAROLINE MARIELLE KIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 HOOPER RD, ENDWELL, NY 13760
(607) 729-2777
(607) 729-2773
Mailing address
333 HOOPER RD, ENDWELL, NY 13760
(607) 729-2777
(607) 729-2773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018722
PA
363LF0000X
Family Nurse Practitioner
F342048-1
NY
Other
Enumeration date
10/24/2017
Last updated
07/10/2019
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