DR. Kimberlyn Vanessa Detrick, D.O is a student in an organized health care education training program in Syracuse, NY with 12 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Kimberlyn Vanessa Detrick, D.O NPI is 1518140979. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: PACIFIC MEDICAL COLLEGE
Graduation Year:2012
The provider's business location address is:
750 E ADAMS ST
SYRACUSE, NY
ZIP 13210-306
Phone: (315) 464-4006
The NPI 1518140979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/16/2021.