Individual
AMANDA MARIE KILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 299-5451
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
555083-1
NY
Other
Enumeration date
05/05/2014
Last updated
04/03/2023
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