Kiah, Trudy M

Kiah, Trudy M is an individual health care provider with primary practice located at 921 State St , Ogdensburg NY 13669-3347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kiah, Trudy M can be contacted via phone (315) 393-9269.

Contact Information

Primary practice address
921 State St Ogdensburg NY 13669-3347
Phone: (315) 393-9269
Fax: (315) 393-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0071951 New York

Profile Details

NPI number 1083789515
LBN Legal business name Kiah, Trudy M
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Oct 6th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083789515 NPPES
New York MEDICAID 01330116

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