Individual
MS. KATHLEEN MARIE MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
2875 UNION RD, SUITE 21, CHEEKTOWAGA, NY 14227-1465
(716) 706-2034
(716) 705-2035
Mailing address
2875 UNION RD, SUITE 21, CHEEKTOWAGA, NY 14227-1465
(716) 706-2034
(716) 705-2035
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560343007
BLUE CROSS/BLUE SHIELD OF WNY
NY
05
—
01470075
—
NY
01
—
040426001221
FIFELIS CARE NY
NY
01
—
9512021
INDEPENDENT HEALTH
NY
Enumeration date
04/17/2006
Last updated
11/11/2008
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