person
Kim Staples, RPA-C
Medical Physician Assistant in East Northport, New York
NPI 1538597463

Kim Staples is a Medical Physician Assistant based in East Northport, NY and is specialized in Medical. Kim Staples practices in East Northport, NY and has the professional credentials of RPA-C. The NPI Number for Kim Staples is 1538597463 and holds a License No. 017142 (New York).

The current practice location address for Kim Staples is 554 Larkfield Rd, East Northport, NY and can be reached out via phone at 631-386-9166.

Location: 554 Larkfield Rd, East Northport, NY, 11731-4205
person
Provider Profile Details
NPI Number
1538597463
Provider Name
Kim Staples
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
554 Larkfield Rd, East Northport, NY, 11731-4205
Phone Number
631-386-9166
Fax Number
Provider Enumeration Date
11/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
554 Larkfield Rd
City
State
Zip
11731-4205
Phone Number
631-386-9166
Fax Number
person
Provider Business Mailing Address Details
Address
554 Larkfield Rd
City
State
Zip
11731-4205
Phone Number
631-386-9166
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
017142 (New York)
Definition
Definition to come...
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