Individual
MRS. KATHERINE GRADY KENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
150 W MAIN ST, GOSHEN, NY 10924-1919
(845) 294-9278
(845) 294-1044
Mailing address
150 W MAIN ST, GOSHEN, NY 10924-1919
(845) 294-9278
(845) 294-1044
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
303648-1
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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