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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM HAZZARD

Active Sole Proprietor

KIM HAZZARD is a Podiatric Surgery healthcare provider located in PLYMOUTH, New York. NPI 1013563907 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · PLYMOUTH, NY

Registration Details

NPI Number
1013563907
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2019 (7.0162985629413 yrs)
Last Updated
Aug 15, 2019
Sole Proprietor
Yes

Practice Information

Address
246 BEAVER MEADOW RD
PLYMOUTH, NY, 13832
Browse NY providers · Browse ZIP 13832
Phone
3158374934
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.