Organization
KMC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYM CANNIZZARO (OWNER/NP)
(716) 759-4938
Entity
Organization
Contact information
Practice address
9097 MAIN ST, CLARENCE, NY 14031-1965
(716) 759-4938
(716) 759-4939
Mailing address
9097 MAIN ST, CLARENCE, NY 14031-1965
(716) 759-4938
(716) 759-4939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
07/11/2024
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