Individual
MS. KATHLEEN GRACE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
11 BROADWAY ST, GLOVERSVILLE, NY 12078
(518) 428-5888
Mailing address
19 MANOR BLVD, TROY, NY 12180-5617
(518) 428-5888
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
726977
NY
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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