Individual
MS. GILLIAN LYNN KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8080 WESLEY RD, BLOOMFIELD, NY 14469-9211
(585) 313-0557
Mailing address
8080 WESLEY RD, BLOOMFIELD, NY 14469-9211
(585) 313-0557
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
22648587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22648587
THE UNIVERISTY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
09/06/2011
Last updated
09/06/2011
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