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Individual

DR. KATHLEEN NOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MSL

Contact information

Practice address
7194 STATE ROUTE 28, SHANDAKEN, NY 12480-5004
(845) 688-9702
(845) 679-6973
Mailing address
PO BOX 16, MOUNT TREMPER, NY 12457-0016
(845) 688-9702
(845) 679-6973

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
175109
NY

Other

Enumeration date
06/28/2008
Last updated
09/18/2012
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