Individual
MS. KATHY M MCKILLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
120 MINEOLA BLVD, SUITE 210, MINEOLA, NY 11501-4073
(516) 663-4937
Mailing address
191 LATHAM RD, MINEOLA, NY 11501-2244
(516) 746-7623
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380616-1
NY
Other
Enumeration date
02/10/2007
Last updated
02/24/2021
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