National Provider Identifier
Kim Marie Kirkwood, CPNP, MS
Kim Marie Kirkwood, CPNP, MS is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-2188.
Profile Overview
- NPI
- 1669670386
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- July 03, 2007
- Last Updated
- July 08, 2007
Practice Location
- 10 Graham RD W
- Ithaca, NY 14850-1055
Phone: (607) 257-2188
Mailing Address
- 750 E Adams St
- 5Th Floor - Room 5400
- Syracuse, NY 13210-2306
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1669670386
- Entity Type
- Individual
- Last Name
- Kirkwood
- First Name
- Kim
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- CPNP, MS
- Mailing Street Address
- 750 E Adams St
- Mailing Address Line 2
- 5Th Floor - Room 5400
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13210-2306
- Mailing Country
- US
- Mailing Phone
- (315) 464-7588
- Mailing Fax
- (315) 464-7564
- Practice Street Address
- 10 Graham RD W
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1055
- Practice Country
- US
- Practice Phone
- (607) 257-2188
- Enumeration Date
- July 03, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)