O'Connor-Mullen, Kathleen A

O'Connor-Mullen, Kathleen A is an individual health care provider with primary practice located at 1825 Maple Rd Suite Llb, Williamsville NY 14221-2723. 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. O'Connor-Mullen, Kathleen A can be contacted via phone (716) 204-4532.

Contact Information

Primary practice address
1825 Maple Rd Suite Llb Williamsville NY 14221-2723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3311582 New York

Profile Details

NPI number 1659321974
LBN Legal business name O'Connor-Mullen, Kathleen A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
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 1659321974 NPPES
New York MEDICAID 01701160

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