Evans, Kathleen Ann

Evans, Kathleen Ann is an sole proprietor health care provider with primary practice located at 6411 State Highway 28 , Fly Creek NY 13337-3007. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Evans, Kathleen Ann can be contacted via phone (607) 547-1291.

Contact Information

Primary practice address
6411 State Highway 28 Fly Creek NY 13337-3007
Phone: (607) 547-1291
Fax: (607) 547-5828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045660 New York

Profile Details

NPI number 1609125533
LBN Legal business name Evans, Kathleen Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2012
Last updated Sep 6th, 2012 - about 14 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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