Individual
KATHLEEN O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-7150
Mailing address
417 EVERWILD LN, MACEDON, NY 14502-9395
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383105
NY
Other
Enumeration date
05/27/2020
Last updated
07/03/2023
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