Individual
KIMBERLY BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
65 E 76TH ST, NEW YORK, NY 10021-1844
(212) 532-7620
Mailing address
23 SCUPPO RD, WOODBURY, CT 06798-3812
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
E48075
CT
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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