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Individual

KACEY JOHANNAH PRYZBY

Active
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Individual

KACEY JOHANNAH PRYZBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
382897
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
382897
LICENSE NUMBER
NY
Enumeration date
08/06/2018
Last updated
08/06/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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