CRYSTAL MARIE KIMBALL RN
NPI 1235945601
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Utica, NY
Active since December 10, 2024
About Crystal Marie Kimball Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL MARIE KIMBALL RN (NPI 1235945601) is an individual psychiatric/mental health, child & adolescent provider in Utica, New York, licensed in New York (722304) and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1235945601
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameCRYSTAL MARIE KIMBALLCredential: RN
Location Address1400 NOYES STUtica, NY 13502-3852
Mailing Address1400 Noyes StUtica, NY 13502-3852
Phone(315) 738-3800
Sole ProprietorYes
Enumeration DateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1235945601 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in NY · 722304
1400 NOYES ST, Utica, NY 13502
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235945601, enumerated as an "individual" on December 10, 2024.
The provider is located at 1400 NOYES ST UTICA, NY 13502 and the phone number is (315) 738-3800.
Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.
