Individual
DIANE KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1676 SUNSET AVE, FAXTON ST LUKES HEALTHCARE, UTICA, NY 13502
(315) 624-5455
(315) 624-5291
Mailing address
1676 SUNSET AVE, FAXTON ST LUKES HEALTHCARE, UTICA, NY 13502
(315) 624-5455
(315) 624-5291
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
001580
NY
Other
Enumeration date
07/22/2009
Last updated
09/11/2012
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