Individual provider · Type 1 NPI

Kim Marie Kirkwood, CPNP, MS

Pediatric Nurse Practitioner · Ithaca, NY

NPI number 1669670386 Active

Practice location

10 Graham Rd W
Ithaca, NY 14850-1055

Mailing address

750 E Adams St, 5th Floor - Room 5400
Syracuse, NY 13210-2306

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380530-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669670386

Kim Marie Kirkwood, CPNP, MS's National Provider Identifier is 1669670386, issued on Jul 3, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.