Individual
CARRIE KIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 PRE EMPTION RD, SUITE 600, GENEVA, NY 14456-2069
(315) 230-5646
(315) 230-5645
Mailing address
789 PRE EMPTION RD, SUITE 600, GENEVA, NY 14456-2069
(315) 719-0060
(315) 719-0230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
335035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02864368
—
NY
Enumeration date
09/01/2006
Last updated
10/14/2010
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