Individual
BECKY MARIE KEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6576 E QUAKER ST, ORCHARD PARK, NY 14127-2560
(716) 667-0855
(716) 667-7019
Mailing address
6576 E QUAKER ST, ORCHARD PARK, NY 14127-2560
(716) 667-0855
(716) 667-7019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023316
NY
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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