National Provider Identifier
Kimberly Susan Demay, D.C.
Kimberly Susan Demay, D.C. is listed in the NPPES registry with a primary specialty of Nutrition Chiropractor in Penn Yan, NY and a listed phone number of (315) 536-3700.
Profile Overview
- NPI
- 1104903640
- Provider Type
- Individual
- Primary Specialty
- Nutrition Chiropractor
- Enumeration Date
- November 01, 2006
- Last Updated
- December 15, 2020
Practice Location
- 219 Lake Street
- Penn Yan, NY 14527
Phone: (315) 536-3700
Specialties
- Nutrition Chiropractor (111NN1001X)
Full Record
- NPI
- 1104903640
- Entity Type
- Individual
- Last Name
- Demay
- First Name
- Kimberly
- Middle Name
- Susan
- Credential
- D.C.
- Provider Other Last Name
- Andersen
- Provider Other First Name
- Kimberly
- Provider Other Middle Name
- Susan
- Provider Other Credential Text
- D.O.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 219 Lake Street
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527
- Mailing Country
- US
- Mailing Phone
- (315) 536-3700
- Mailing Fax
- (315) 694-9085
- Practice Street Address
- 219 Lake Street
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527
- Practice Country
- US
- Practice Phone
- (315) 536-3700
- Practice Fax
- (315) 694-9085
- Enumeration Date
- November 01, 2006
- Last Updated
- December 15, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 15, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nutrition Chiropractor (111NN1001X)