Individual
MS. CHRISTINE LOUISE KIRKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,RN,PNP
Contact information
Practice address
4500 PEWTER LANE, BUILDING 8 & 9, MANLIUS, NY 13104
(315) 692-2037
(315) 692-2102
Mailing address
4500 PEWTER LANE, BUILDING 8 & 9, MANLIUS, NY 13104
(315) 692-2037
(315) 692-2102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
342922
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382460-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03972034
—
NY
Enumeration date
09/24/2007
Last updated
03/02/2021
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