Individual
KRISTIN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 ONTARIO CENTER ROAD, ONTARIO CENTER, NY 14520
(315) 524-1000
Mailing address
6200 ONTARIO CENTER RD, ONTARIO CENTER, NY 14520-0155
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
764032
NY
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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