Individual
MR. KENNETH BRIAN KLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-5540
Mailing address
5528 ROCKHAMPTON PATH, CLAY, NY 13041-6907
(315) 289-9668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
345947
NY
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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