Individual
MRS. KATHLEEN ELIZABETH DISTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., I.B.C.L.C
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5572
(315) 349-5701
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5572
(315) 349-5701
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
429531
NY
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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