Kimberly J Lewis, MS

NPI #1740828367 in Marion, New York

Provider Information

NPI Number: 1740828367
Entity Type: Individual
Name: Kimberly J Lewis, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS
Enumeration Date: Dec 13, 2019
Last Updated: Dec 13, 2019

Practice Location

Address: 3832 CORY CORNERS RD
City: Marion
State: New York
ZIP Code: 14505-9722
Phone: (315) 576-0377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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