Individual
KRISTY LEIGH ENEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
605 PALMER ST, FRANKFORT, NY 13340-1428
(315) 894-1768
Mailing address
605 PALMER ST, FRANKFORT, NY 13340-1428
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5551835
NY
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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