Individual
AVIS KIM WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
WHITE BIRCH LANE, INDIAN LAKE, NY 12842-0250
(518) 648-6497
(518) 648-6143
Mailing address
WHITE BIRCH LANE, INDIAN LAKE, NY 12842
(518) 648-6497
(518) 648-6143
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
417612
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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