Provider Demographics
NPI:1386166890
Name:SUDFELD, KARI LYNN (NP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:SUDFELD
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Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:100 PARK STREET - PO BOX 304
Mailing Address - Street 2:GLENS FALLS HOSPITAL - CREDENTIALING
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801
Mailing Address - Country:US
Mailing Address - Phone:518-926-6992
Mailing Address - Fax:518-926-6983
Practice Address - Street 1:102 PARK STREET
Practice Address - Street 2:ADIRONDACK UROLOGY
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801
Practice Address - Country:US
Practice Address - Phone:518-798-1719
Practice Address - Fax:518-926-1943
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2017-07-17
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Provider Licenses
StateLicense IDTaxonomies
NY342074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily