Penalosa, Kazell Ann

Penalosa, Kazell Ann is an individual health care provider with primary practice located at 19 Laurel Ave , Cornwall NY 12518-1403. 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. Penalosa, Kazell Ann can be contacted via phone (845) 534-7711.

Contact Information

Primary practice address
19 Laurel Ave Cornwall NY 12518-1403
Phone: (845) 534-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 684065 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 347643 New York

Profile Details

NPI number 1215695077
LBN Legal business name Penalosa, Kazell Ann
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2021
Last updated Nov 29th, 2021 - about 5 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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