Herren, Kathy Lynn

Herren, Kathy Lynn is an individual health care provider with primary practice located at 377 Church St , Saratoga Springs NY 12866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Herren, Kathy Lynn can be contacted via phone (518) 584-4456.

Contact Information

Primary practice address
377 Church St Saratoga Springs NY 12866
Phone: (518) 584-4456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004509 New York

Profile Details

NPI number 1154312593
LBN Legal business name Herren, Kathy Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated May 27th, 2021 - about 4 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 1154312593 NPPES
New York MEDICAID 02352454

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