Individual
KATHERINE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 793-0519
Mailing address
2 BROAD STREET PLZ, SUITE 301, GLENS FALLS, NY 12801-4369
(518) 793-0519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
657660-1
NY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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