Individual
DYLAN GARY KILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 ROUTE 106, GREENFIELD TOWNSHIP, PA 18407-3526
(570) 282-5189
Mailing address
4400 VESTAL PKWY E, BINGHAMTON, NY 13902-4400
(607) 777-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP022372
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2020
Last updated
09/15/2020
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