Individual
KIMBERLY MARIE CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2656 W STATE ST, SUITE 502, OLEAN, NY 14760-1871
(716) 373-2796
(716) 373-8592
Mailing address
2656 W STATE ST, SUITE 502, OLEAN, NY 14760-1871
(716) 373-2796
(716) 373-8592
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400540-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560522003
BLUE CROSS BLUE SHIELD
NY
01
—
337111
VALUE OPTIONS
NY
01
—
7480187
GHI
NY
01
—
7804304
AETNA
NY
01
—
9190043
INDEPENDENT HEALTH
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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