Most Relevant Information
Provider Data
| NPI Number: | 1003019357 |
| Provider Name: | KATHLEEN FRICKEL |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 00287428 |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 04/03/2008 |
Provider Practice Location
1019 E WATER ST
ELMIRA
NY
149013332
Practice Location Phone/Fax
| Phone: | 6077335696 |
| Fax: |
Provider Mailing Location
1019 E WATER ST
ELMIRA
NY
149013332
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |