Individual
BETH ANN KITEVELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
413 ASTER DR, SYRACUSE, NY 13209-2821
(315) 706-9459
Mailing address
413 ASTER DR, SYRACUSE, NY 13209-2821
(315) 706-9459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310829
NY
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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