Individual
KATHRYN HETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4538 SWEDEN WALKER RD, BROCKPORT, NY 14420-2834
(585) 503-4058
Mailing address
4538 SWEDEN WALKER RD, BROCKPORT, NY 14420-2834
(585) 503-4058
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
495291-1
NY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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