Individual
KRISTYN JOELLE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-5690
Mailing address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-5690
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019751-1
NY
Other
Enumeration date
06/29/2016
Last updated
09/12/2022
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