Individual
AMY KLEMGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
595 W MAIN ST, WATERTOWN, NY 13601-1381
(888) 585-2228
Mailing address
595 W MAIN ST, WATERTOWN, NY 13601-1381
(888) 585-2228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
262798-01
NY
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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