Individual
MRS. KIM MARIE MACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SWEET HOME RD, AMHERST, NY 14226-1444
(716) 836-7556
Mailing address
700 SWEET HOME RD, AMHERST, NY 14226-1444
(716) 836-7556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
500820111
NY
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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