KYM VAN WICKLEN

MANHASSET, NY
NPI1306846555
Former NameKYM JENSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  417417)
Enumeration Date2005-07-29
Last Update Date2012-03-28
Business Address
-- KYM VAN WICKLEN CRNA
300 COMMUNITY DR ANESTHESIA DEPARTMENT
MANHASSET, NY 11030-3816
Phone number: 516-562-4887
Mailing Address
-- KYM VAN WICKLEN CRNA
68 S SERVICE RD SUITE 350
MELVILLE, NY 11747-2354
Phone number: 516-945-3000
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