Keefe, Kathleen Marie
Keefe, Kathleen Marie is an individual health care provider with primary practice located at 602 Ivy St 2Nd Floor, Elmira NY 14905-1646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keefe, Kathleen Marie can be contacted via phone (607) 737-4130.Contact Information
Primary practice address
602 Ivy St 2Nd Floor
Elmira NY 14905-1646
Phone: (607) 737-4130
Fax: (607) 271-2099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F335177-1 | New York |
Profile Details
| NPI number | 1023216041 |
|---|---|
| LBN Legal business name | Keefe, Kathleen Marie |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Apr 17th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023216041 | NPPES |
| New York | MEDICAID | 02950296 | |
| New York | MEDICAID | 102812947 |
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