Individual
KIMBERLY S KELSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
725 IRVING AVE, STE 600, SYRACUSE, NY 13210
(315) 464-5162
(315) 464-4613
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
001880
NY
367A00000X
Advanced Practice Midwife
Primary
002480175
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001880
NY STATE OFFICE OF THE PROFESSIONS
NY
01
—
0024180175
VIRGINIA BOARD OF NURSING
VA
05
—
05247618
—
NY
Enumeration date
04/04/2018
Last updated
01/03/2022
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