Dearborn, Kathryn Clark

Dearborn, Kathryn Clark is an individual health care provider with primary practice located at 2233 State Route 86 , Saranac Lake NY 12983-5644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dearborn, Kathryn Clark can be contacted via phone (581) 891-4141.

Contact Information

Primary practice address
2233 State Route 86 Saranac Lake NY 12983-5644
Phone: (581) 891-4141
Fax: (404) 941-1282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRA-100084 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 615852-1 New York

Profile Details

NPI number 1255616629
LBN Legal business name Dearborn, Kathryn Clark
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2011
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255616629 NPPES
Colorado MEDICAID 80574823
Colorado Other COAAA4235
Colorado Other P01080610

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