Individual
DR. DAINELLE KICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
208 TOWNSHIP BLVD, CAMILLUS, NY 13031-1786
(315) 551-6000
Mailing address
208 TOWNSHIP BLVD, CAMILLUS, NY 13031-1786
(315) 551-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
337262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03543111
—
NY
Enumeration date
05/02/2012
Last updated
10/18/2022
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