Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 260229 | NY |
NPI | 1063652972 |
---|---|
Provider Name | Dr. Kristen Lynn Smyers |
First Address | Kenmore, NY 14217-1039 |
Second Address | Niagara Falls, NY 14304-2941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2009 |
Last Update Date | 19/08/2020 |