Individual
MR. KYMBERLY M HARVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3384
(631) 376-4101
Mailing address
20 FERN AVE, EAST ISLIP, NY 11730-2111
(631) 376-3384
(631) 376-4101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303296
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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