Individual
KIMBERLY MOORE WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(585) 922-1900
(585) 922-1002
Mailing address
4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-9478
(315) 462-6707
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304185
NY
Other
Enumeration date
06/12/2006
Last updated
08/03/2015
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