Individual
MRS. KRISTIN LEE GOLLEY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 HANSON RD, MEXICO, NY 13114-4252
(315) 887-0201
Mailing address
201 HANSON RD, MEXICO, NY 13114-4252
(315) 997-0201
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
694077-1
NY
163WI0600X
Infection Control Registered Nurse
694077-1
NY
163WP0200X
Pediatric Registered Nurse
Primary
694077-1
NY
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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