Individual
MRS. LAVERNE KINLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
747 ESSEX ST, BROOKLYN, NY 11208-4805
(347) 938-3324
Mailing address
747 ESSEX ST, BROOKLYN, NY 11208-4805
(347) 938-3324
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
669577
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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