Kinnison, Desiree
Kinnison, Desiree is an individual health care provider with primary practice located at 90 Presidential Plaza , Syracuse NY 13202. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kinnison, Desiree can be contacted via phone (315) 464-9335.Contact Information
Primary practice address
90 Presidential Plaza
Syracuse NY 13202
Phone: (315) 464-9335
Fax: (315) 464-9338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 348082 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 348082 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 348082 | New York |
Profile Details
| NPI number | 1760091029 |
|---|---|
| LBN Legal business name | Kinnison, Desiree |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Dec 19th, 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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