Individual
TAMMY LYNNE KIMPLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
846 CAYUGA ST, HANNIBAL, NY 13074-3152
(315) 564-7960
(315) 564-7980
Mailing address
24 SCOTT DR, HANNIBAL, NY 13074-2108
(315) 564-7337
(315) 564-7980
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
415320
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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