Individual
KENESSA B EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 DUBOIS STREET, ST. LUKES HOSPITAL, NEWBURGH, NY 12550
(845) 561-4400
(585) 368-3219
Mailing address
2 CATHARINE STREET, P.O. BOX 550, MID-HUDSON ANESTHESIOLOGISTS, PC, POUGHKEEPSIE, NY 12602
(866) 885-2318
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
273126-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
273126
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
273126-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04501364
—
NY
Enumeration date
03/31/2011
Last updated
10/30/2018
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