Individual
MRS. KATHLEEN M TERRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 E MAIN ST, CANTON, NY 13617-1450
(315) 261-5165
(315) 261-7183
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
216697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107940
—
NY
01
—
366605
MVP INS PROVIDER NUMBER
NY
Enumeration date
06/06/2006
Last updated
01/29/2026
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