Individual
SHARON ANN KINBLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 ILENE DR, MORRISONVILLE, NY 12962-3405
(518) 222-3061
Mailing address
20 ILENE DR, MORRISONVILLE, NY 12962-3405
(518) 222-3061
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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