Individual
THERESA A JONES-KINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
713 TROY SCHENECTADY RD STE 215, LATHAM, NY 12110-2490
(518) 370-7937
(518) 377-2983
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360213
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01857607
—
NY
Enumeration date
07/15/2005
Last updated
09/14/2022
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