Individual
ALICIA KEMMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-6106
(607) 254-3503
Mailing address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-6106
(607) 254-3503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
680518
NY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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