Individual
MRS. KATHLEEN L CORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 DEWEY AVE, PRUYN HILL, MECHANICVILLE, NY 12118-2106
(518) 664-2227
Mailing address
14 DEWEY AVE, PRUYN HILL, MECHANICVILLE, NY 12118-2106
(518) 663-1117
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
593340
NY
Other
Enumeration date
11/08/2008
Last updated
11/08/2008
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