Gridley, Kira Lee-Lin

Gridley, Kira Lee-Lin is an individual health care provider with primary practice located at 6870 E Genesee St , Fayetteville NY 13066-1031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gridley, Kira Lee-Lin can be contacted via phone (315) 679-4367.

Contact Information

Primary practice address
6870 E Genesee St Fayetteville NY 13066-1031
Phone: (315) 679-4367
Fax: (315) 679-4368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F351912-01 New York

Profile Details

NPI number 1194583609
LBN Legal business name Gridley, Kira Lee-Lin
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2024
Last updated Mar 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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