Individual
ALICE KENLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LLCC
Contact information
Practice address
86 MEADOW ST, CLINTON, NY 13323-1607
(315) 853-4285
(315) 853-4285
Mailing address
118 ARLINGTON RD, UTICA, NY 13501-6343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014560-1
NY
Other
Enumeration date
07/08/2007
Last updated
07/08/2007
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