Individual
KATHYRON ANN MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP
Contact information
Practice address
111 LODER ST, STE A, HORNELL, NY 14843-1950
(607) 324-5404
(607) 324-5463
Mailing address
111 LODER ST, STE A, HORNELL, NY 14843-1950
(607) 324-5404
(607) 324-5463
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305821
NY
Other
Enumeration date
07/27/2011
Last updated
02/01/2017
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