Individual
HEIDI MARIE KINNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-7831
Mailing address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-7831
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401384-1
NY
Other
Enumeration date
09/15/2011
Last updated
10/30/2023
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