National Provider Identifier
Kimberly J Lewis, MS
Kimberly J Lewis, MS is listed in the NPPES registry with a primary specialty of Specialist in Marion, NY and a listed phone number of (315) 576-0377.
Profile Overview
- NPI
- 1740828367
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 13, 2019
- Last Updated
- December 13, 2019
Practice Location
- 3832 Cory Corners RD
- Marion, NY 14505-9722
Phone: (315) 576-0377
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1740828367
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Kimberly
- Middle Name
- J
- Credential
- MS
- Provider Other Last Name
- Welch
- Provider Other First Name
- Kimberly
- Provider Other Middle Name
- J.
- Provider Other Credential Text
- MS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3832 Cory Corners RD
- Mailing City
- Marion
- Mailing State
- NY
- Mailing ZIP Code
- 14505-9722
- Mailing Country
- US
- Mailing Phone
- (315) 576-0377
- Practice Street Address
- 3832 Cory Corners RD
- Practice City
- Marion
- Practice State
- NY
- Practice ZIP Code
- 14505-9722
- Practice Country
- US
- Practice Phone
- (315) 576-0377
- Enumeration Date
- December 13, 2019
- Last Updated
- December 13, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 13, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)