Individual
DAWN KANUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 PINE ST, KINGSTON, NY 12401-4947
(845) 331-0114
Mailing address
138 PINE ST, KINGSTON, NY 12401-4947
(845) 331-0114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267464
NY
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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