Individual
KIMBERLY ANNE MEDICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 CLINTON RD, LATHAM, NY 12110-4200
(518) 785-7451
(518) 785-2762
Mailing address
100 CLINTON RD, LATHAM, NY 12110-4200
(518) 785-7451
(518) 785-2762
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
441653
NY
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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