Brennan, Kathleen Mary
Brennan, Kathleen Mary is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brennan, Kathleen Mary can be contacted via phone (585) 275-4912.Contact Information
Primary practice address
601 Elmwood Ave
Rochester NY 14642-0001
Phone: (585) 275-4912
Fax: (585) 276-2144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 300994 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F3009941 | New York |
Profile Details
| NPI number | 1467403964 |
|---|---|
| LBN Legal business name | Brennan, Kathleen Mary |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467403964 | NPPES |
| New York | MEDICAID | 02769886 |
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