Individual
DR. KATHLEEN JACQUELINE MAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
510 GEYSER RD, BALLSTON SPA, NY 12020-3007
(518) 289-2720
Mailing address
205A VAN AERNEM RD, BALLSTON SPA, NY 12020-3803
(201) 230-1877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
331819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331819
LICENSE NUMBER
NY
Enumeration date
03/25/2021
Last updated
07/18/2024
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