Individual
KATHLEEN M CALNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608
(585) 368-6900
(585) 368-6955
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6900
(585) 368-6955
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02246977
—
NY
Enumeration date
02/13/2007
Last updated
05/06/2021
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