Individual
KATHY A PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, GNP-BC
Contact information
Practice address
55 GENESEE ST BK BUILDING 1ST FLR, ROCHESTER, NY 14611
(585) 368-3591
(585) 368-3620
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 368-3691
(585) 368-3337
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02507591
—
NY
Enumeration date
06/30/2006
Last updated
01/23/2023
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