Individual
MRS. KATHLEEN T MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 276-4299
(585) 276-2533
Mailing address
601 ELMWOOD AVE, BOX 670, ROCHESTER, NY 14642-0001
(585) 276-4299
(585) 276-2533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
366284
NY
363L00000X
Nurse Practitioner
Primary
333692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02460002
—
NY
Enumeration date
06/21/2006
Last updated
08/26/2011
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