Individual
KATHLEEN VENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
4525 WITMER RD, NIAGARA FALLS, NY 14305-1341
(716) 402-5533
Mailing address
4525 WITMER RD, NIAGARA FALLS, NY 14305-1341
(716) 402-5533
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305114
NY
Other
Enumeration date
06/18/2009
Last updated
10/12/2016
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