Individual
KIM MARIE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
DENT NEUROLOGIC GROUP, LLP, 3980A SHERIDAN DRIVE, AMHERST, NY 14226
(716) 250-2000
(716) 250-2040
Mailing address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-3123
(716) 828-3890
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306852
NY
Other
Enumeration date
04/16/2014
Last updated
05/30/2018
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