Individual
KATHLEEN MARIE SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5440
Mailing address
7675 GREAT MUSKRAT, LIVERPOOL, NY 13090-3605
(315) 457-9344
(315) 457-9371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
314911-1
NY
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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