Diane Kenworthy, AUD

NPI 1811127046 · on the registry since 2009

Practice

Address: 1676 Sunset Ave
Faxton St Lukes Healthcare
Utica, NY 13502
Phone: (315) 624-5455
Fax: (315) 624-5291
Organisation at this address: Mvhs Inc
Max Md Pc
Max & Blom Md Pc
Brian Boyle, Md Pc
Mvny Partners I Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 115

Registry record

Primary taxonomy: 231HA2400X
231HA2400X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York