Crandall, Kathleen K

Crandall, Kathleen K is an individual health care provider with primary practice located at 113 Fairmont Rd , Elmira NY 14905-2036. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Crandall, Kathleen K can be contacted via phone (607) 732-6507.

Contact Information

Primary practice address
113 Fairmont Rd Elmira NY 14905-2036
Phone: (607) 732-6507
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1540501 New York

Profile Details

NPI number 1891911335
LBN Legal business name Crandall, Kathleen K
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891911335 NPPES
New York MEDICAID 00810095

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