Individual
MS. KIANA LEE INGOLDSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 TOWPATH LN, WATERFORD, NY 12188-4006
(518) 596-0017
Mailing address
9 CELESTE DR, RENSSELAER, NY 12144-4407
(518) 860-3498
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
821020
NY
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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