Individual
AMANDA KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
739 IRVING AVE STE 450, SYRACUSE, NY 13210-1663
(315) 470-7364
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F348421-01
NY
Other
Enumeration date
09/10/2021
Last updated
11/07/2023
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