Hennigan, Kelly Anne

Hennigan, Kelly Anne is an sole proprietor health care provider with primary practice located at 6079 Ontario Center Rd , Ontario NY 14519-9595. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hennigan, Kelly Anne can be contacted via phone (315) 560-4303.

Contact Information

Primary practice address
6079 Ontario Center Rd Ontario NY 14519-9595
Phone: (315) 560-4303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 688884 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 34495 New York

Profile Details

NPI number 1760128581
LBN Legal business name Hennigan, Kelly Anne
Credentials RN, MSN, NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2022
Last updated May 5th, 2022 - about 2 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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