Kinahan, Mary G

Kinahan, Mary G is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. 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. Kinahan, Mary G can be contacted via phone (860) 679-4477.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-4477
Fax: (860) 679-4474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 001338 Connecticut

Profile Details

NPI number 1770589921
LBN Legal business name Kinahan, Mary G
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 14th, 2014 - about 12 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 1770589921 NPPES
Connecticut MEDICAID 1770589921

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