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

DR. KIMBERLYN VANESSA DETRICK, D.O

Active

DR. KIMBERLYN VANESSA DETRICK, D.O is a Student (Health Education/Training) healthcare provider located in SYRACUSE, New York. NPI 1518140979 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · SYRACUSE, NY

Registration Details

NPI Number
1518140979
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2007 (18.539903786029 yrs)
Last Updated
Dec 16, 2021

Practice Information

Address
750 E ADAMS ST
SYRACUSE, NY, 132102306
Browse NY providers · Browse ZIP 13210
Phone
3154644006
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in SYRACUSE, NY

Name Credential NPI
MR. CHARLES R MONTEITH III ATC 1508991159
DR. FARUK BALKAN M.D. 1033377551
DR. DINESH JACOB JOHN MBBS 1710140082
PASAKA GRICIENE M.D. 1922261981
DR. KRISTEN ANNE MEAD M.D. 1114180254
DR. SAADIYA JAVED KHAN MD 1174786131
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.