Blume-Kesselring, Shannon

Blume-Kesselring, Shannon is an individual health care provider with primary practice located at 86 Genesee Street , New Hartford NY 13413. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Blume-Kesselring, Shannon can be contacted via phone (315) 732-7909.

Contact Information

Primary practice address
86 Genesee Street New Hartford NY 13413
Phone: (315) 732-7909
Fax: (315) 793-9307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 4918541 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F333382 New York

Profile Details

NPI number 1700893914
LBN Legal business name Blume-Kesselring, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 2nd, 2023 - about last year

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 1700893914 NPPES
New York MEDICAID 02254557
New York MEDICAID 02996981
New York MEDICAID 02873201

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