Kissane, Kathleen M

Kissane, Kathleen M is an individual health care provider with primary practice located at 5500 Buckeystown Pike , Frederick MD 21703-8331. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kissane, Kathleen M can be contacted via phone (240) 379-6045.

Contact Information

Primary practice address
5500 Buckeystown Pike Frederick MD 21703-8331
Phone: (240) 379-6045
Fax: (240) 379-6050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R089131 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R089131 Maryland

Profile Details

NPI number 1477546117
LBN Legal business name Kissane, Kathleen M
Credentials RN, CRNP, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated May 17th, 2011 - about 15 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 1477546117 NPPES
Other 1257868 AETNA PVN
Other 2221-0247 AETNA PVN

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