Brennan, Kathleen Mary

Brennan, Kathleen Mary is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. 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. Brennan, Kathleen Mary can be contacted via phone (585) 275-4912.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Phone: (585) 275-4912
Fax: (585) 276-2144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300994 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3009941 New York

Profile Details

NPI number 1467403964
LBN Legal business name Brennan, Kathleen Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 5th, 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 1467403964 NPPES
New York MEDICAID 02769886

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