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KIMBERLY PROVENZANO
Nurse Practitioner
NPI: 1104864081IndividualAccepts Medicare
Specialties, Licenses & Credentials
Oncology Clinical Nurse Specialist
Clinical Nurse Specialist — Oncology
Code: 364SX0200X
370019(NY)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
370019(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 1997
Contact & Hours
- Address
- 1425 PORTLAND AVE
ROCHESTER, NY 14621 - Phone
- (585) 922-4020
Quick Facts
- NPI
- 1104864081
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 29
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