Individual
KARA TIMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 PROSPECT AVE, CLINICAL AFFILIATES, SYRACUSE, NY 13203-1807
(315) 448-5111
(315) 703-5049
Mailing address
104 UNION AVE, SUITE 804, SYRACUSE, NY 13203-1843
(315) 703-5049
(315) 703-5079
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
011718
NY
363AS0400X
Surgical Physician Assistant
Primary
011718
NY
Other
Enumeration date
05/22/2007
Last updated
07/18/2013
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