Gendron, Kim P

Gendron, Kim P is an individual health care provider with primary practice located at 315 S Manning Blvd , Albany NY 12208-1707. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gendron, Kim P can be contacted via phone (518) 279-5700.

Contact Information

Primary practice address
315 S Manning Blvd Albany NY 12208-1707
Phone: (518) 279-5700
Fax: (518) 270-1323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 331800 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401277 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331800 New York

Profile Details

NPI number 1053404061
LBN Legal business name Gendron, Kim P
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 11th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1053404061 NPPES
New York MEDICAID 02327719
New York Other P00466853

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