Individual
AMY KIRKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(315) 713-9090
Mailing address
1348 BOLAND RD, RICHVILLE, NY 13681-3129
(315) 323-8902
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315340
NY
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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