Individual
VALERIE ANN KEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNM
Contact information
Practice address
725 IRVING AVE, STE 600, SYRACUSE, NY 13210
(315) 464-5162
(315) 464-2122
Mailing address
725 IRVING AVE, STE 600, SYRACUSE, NY 13210
(315) 464-5162
(315) 464-2122
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
001875
NY
367A00000X
Advanced Practice Midwife
Primary
001875
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001875
NYS CNM LICENSE
NY
01
—
571906-1
NYS RN
NY
01
—
CNM05028
AMCB
—
Enumeration date
07/25/2018
Last updated
05/20/2025
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