Individual
KYM ALYSSA COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
780 PARKSIDE AVE, BUFFALO, NY 14216-2010
(716) 816-3447
Mailing address
780 PARKSIDE AVE, BUFFALO, NY 14216-2010
(716) 816-3447
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
739168-1
NY
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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