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Individual

KATHLEEN DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1700
(315) 798-1707
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1700
(315) 798-1707

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301199
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02531482
NY
Enumeration date
10/04/2005
Last updated
07/08/2007
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