Individual
MS. KIMBERLEY ANN SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
128 RAY BROOK ROAD, RAY BROOK, NY 12977-0300
(518) 897-4000
Mailing address
209 DURAND RD, PLATTSBURGH, NY 12901-7902
(518) 562-8304
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306202
NY
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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