Individual
MIKALA LYNN KIRKBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 PATRICIA DR, NORTH SYRACUSE, NY 13212-4272
(315) 383-5050
Mailing address
3220 FAR REACH DR, BALDWINSVILLE, NY 13027-1511
(315) 913-5780
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
822331
NY
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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