MS. Kenny Mikita Lacossiere, NURSEPRACTITIONER
MS. Kenny Mikita Lacossiere, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
1275 York AveNew York, NY 10065-6007
Phone: (212) 717-3028
Fax: (212) 717-3118
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Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 304963-1 (NY) |
|---|
Record details
| NPI number | 1336391853 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2008 |
| Last updated in NPPES | October 15, 2008 |
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