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Kimberly R Peckham, FNP,NPP
Psychiatric/Mental Health Nurse Practitioner in Olean, New York
NPI 1174554430

Kimberly R Peckham is a Psychiatric/Mental Health Nurse Practitioner based in Olean, NY and is specialized in Psychiatric/Mental Health. Kimberly R Peckham practices in Olean, NY and has the professional credentials of FNP,NPP. The NPI Number for Kimberly R Peckham is 1174554430 and holds a License No. 332683 (New York).

The current practice location address for Kimberly R Peckham is 2646 W State St, Olean, NY and can be reached out via phone at 716-372-9344 and via fax at 716-372-9497.

Location: 2646 W State St, Olean, NY, 14760-1866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174554430
Provider Name
Kimberly R Peckham
Credential
FNP,NPP
Provider Entity Type
Individual
Gender
Female
Address
2646 W State St, Olean, NY, 14760-1866
Phone Number
716-372-9344
Fax Number
716-372-9497
Provider Enumeration Date
07/05/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
02011163 05 NY
institution
Provider Business Practice Location Address Details
Address
2646 W State St
City
Olean
State
New York
Zip
14760-1866
Phone Number
716-372-9344
Fax Number
716-372-9497
person
Provider Business Mailing Address Details
Address
2646 W State St
City
Olean
State
New York
Zip
14760-1866
Phone Number
716-372-9344
Fax Number
716-372-9497
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
400892 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
332683 (New York)
Definition
Definition to come...
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