Individual
DR. KAREN MARIE KENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
77 MILLER ROAD, SUITE 1, CASTLETON, NY 12033
(518) 477-8761
(518) 477-2251
Mailing address
77 MILLER ROAD, SUITE 1, CASTLETON, NY 12033
(518) 477-8761
(518) 477-2251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
158451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01044595
—
NY
Enumeration date
04/12/2006
Last updated
07/08/2007
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