Priscela Lizette Kugblenu, PA-C

NPI #1669032116 in Loudonville, New York

Provider Information

NPI Number: 1669032116
Entity Type: Individual
Name: Priscela Lizette Kugblenu, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 17, 2019
Last Updated: Jun 1, 2023

Practice Location

Address: 407 ALBANY SHAKER RD
City: Loudonville
State: New York
ZIP Code: 12211-1900
Phone: (518) 435-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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