Individual
KATHRYN B FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-7824
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-0638
(585) 273-3359
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03256815
—
NY
01
—
NP0275
PREFERRED CARE
NY
01
—
P019420353
BLUE CHOICE
NY
Enumeration date
07/24/2006
Last updated
01/16/2020
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