Individual
MRS. KIM MARIE KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP,MS
Contact information
Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
Mailing address
750 E ADAMS ST, 5TH FLOOR - ROOM 5400, SYRACUSE, NY 13210-2306
(315) 464-7588
(315) 464-7564
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380530-1
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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