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Dr. Kimberlyn Vanessa Detrick, DO
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1518140979

Kimberlyn Vanessa Detrick is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Kimberlyn Vanessa Detrick practices in Syracuse, NY and has the professional credentials of DO. The NPI Number for Kimberlyn Vanessa Detrick is 1518140979 and holds a License No. (New York).

The current practice location address for Kimberlyn Vanessa Detrick is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-4006. You can also correspond with Kimberlyn Vanessa Detrick through the mailing address at 750 E ADAMS ST, SYRACUSE, NY - 13210-2306 (mailing address contact number: 315-464-4006).

Location: 750 E Adams St, Syracuse, NY, 13210-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518140979
Provider Name
Kimberlyn Vanessa Detrick
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
750 E Adams St, Syracuse, NY, 13210-2306
Phone Number
315-464-4006
Fax Number
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4006
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4006
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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