Individual
KATHLEEN M LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
512 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 637-5500
(315) 637-5588
Mailing address
512 TOWNE DR, FAYETTEVILLE, NY 13066
(315) 637-5500
(315) 637-5588
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01680491
—
NY
Enumeration date
05/12/2006
Last updated
01/27/2010
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