Individual
DR. KATHLEEN MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4900 BROAD RD STE 4H, DEPARTMENT OF MIDWIFERY OB GYN, SYRACUSE, NY 13215-2265
(315) 492-5875
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7903
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000341
NY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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