Individual
KIMBERLY MICHELLE WETHERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1179 GENESEE RD, ARCADE, NY 14009-9712
(407) 431-5876
Mailing address
1179 GENESEE RD, ARCADE, NY 14009-9712
(407) 431-5876
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
NYFL04588320R
NY
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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