Individual
KIMBERLY ANN WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 E ONEIDA ST, BALDWINSVILLE, NY 13027-2480
(315) 638-6081
(315) 638-6176
Mailing address
29 E ONEIDA ST, BALDWINSVILLE, NY 13027-2480
(315) 638-6176
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
610930-1
NY
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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