| Kirkwood Medical Practice | |
|
865 Route 11 Kirkwood NY 13795 | |
| (434) 420-0466 | |
| Not Available |
| Full Name | Kirkwood Medical Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 865 Route 11, Kirkwood, New York |
| Authorized Official Name and Position | Jemille Smith (OWNER) |
| Authorized Official Contact | 4344200466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirkwood Medical Practice 865 Route 11 Kirkwood NY 13795 Ph: (434) 420-0466 | Kirkwood Medical Practice 865 Route 11 Kirkwood NY 13795 Ph: (434) 420-0466 |
| NPI Number | 1497530463 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497530463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
United Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Mile Point Plaza, Kirkwood, NY 13795 Phone: 607-775-1771 Fax: 607-775-5479 |