Hennessey, Kathryn R.

Hennessey, Kathryn R. is an individual health care provider with primary practice located at 119 Shoemaker Rd , Pottstown PA 19464-6429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hennessey, Kathryn R. can be contacted via phone (610) 427-4919.

Contact Information

Primary practice address
119 Shoemaker Rd Pottstown PA 19464-6429
Phone: (610) 427-4919
Fax: (610) 489-6418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS007723L Pennsylvania

Profile Details

NPI number 1649215971
LBN Legal business name Hennessey, Kathryn R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Feb 9th, 2022 - about 3 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 1649215971 NPPES
Pennsylvania Other 10928555 CAQH ID#
Pennsylvania Other 4358937 CAQH ID#
Pennsylvania Other 0279841000 CAQH ID#
Pennsylvania Other 16452-OS007723L CAQH ID#
Pennsylvania Other 195050 CAQH ID#
Pennsylvania Other 1089445 CAQH ID#
Pennsylvania Other 30019705 CAQH ID#
Pennsylvania Other P00186614 CAQH ID#
Pennsylvania Other 0279841000 CAQH ID#
Pennsylvania MEDICAID 0013910420002 CAQH ID#

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