Individual
MS. JESSICA M KAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
34 CHENANGO AVE, CLINTON, NY 13323-1341
(315) 853-5550
Mailing address
34 CHENANGO AVE, CLINTON, NY 13323-1341
(315) 853-5550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014101
NY
Other
Enumeration date
09/04/2010
Last updated
01/03/2012
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