Individual
KIKI BOURNEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2231 BURDETT AVE STE 110, TROY, NY 12180-2447
(518) 271-3900
(518) 271-3914
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001767
NY
Other
Enumeration date
11/08/2018
Last updated
06/06/2024
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