Individual
KIMBERLY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4927
Mailing address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4927
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
524-607
NY
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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