Individual
MR. DENIS CHARLES KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
447 EAST WATER STREET, ELMIRA, NY 14901-3410
(607) 733-3631
(607) 733-5432
Mailing address
447 EAST WATER STREET, ELMIRA, NY 14901-3410
(607) 733-3631
(607) 733-5432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00359366
—
NY
01
—
006747
LIC
NY
Enumeration date
09/21/2006
Last updated
03/07/2023
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