Flynn, Kathleen

Flynn, Kathleen is an individual health care provider with primary practice located at 4551 New Bern Ave Ste 160 , Raleigh NC 27610-1552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Flynn, Kathleen can be contacted via phone (919) 861-7793.

Contact Information

Primary practice address
4551 New Bern Ave Ste 160 Raleigh NC 27610-1552
Phone: (919) 861-7793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 034168 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009-02005 North Carolina

Profile Details

NPI number 1801895149
LBN Legal business name Flynn, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 9th, 2013 - about 12 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 1801895149 NPPES
Connecticut MEDICAID 001341685
Connecticut MEDICAID 5916114

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