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Individual

MS. KATHLEEN KELLY LYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
24 RESEARCH WAY STE 500, EAST SETAUKET, NY 11733-3470
(631) 444-6279
Mailing address
24 RESEARCH WAY STE 500, EAST SETAUKET, NY 11733-3470
(631) 444-6279

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301743
NY

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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